| Coxhealth Republic Clinic | |
|
820 S Illinois Ave Republic MO 65738-1177 | |
| (417) 269-1910 | |
| (417) 269-1916 |
| Full Name | Coxhealth Republic Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 820 S Illinois Ave, Republic, Missouri |
| Authorized Official Name and Position | Jacob Mcway (SR VP & CFO) |
| Authorized Official Contact | 4172698811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coxhealth Republic Clinic Po Box 802843 Kansas City MO 64180-2843 Ph: (417) 730-6430 | Coxhealth Republic Clinic 820 S Illinois Ave Republic MO 65738-1177 Ph: (417) 269-1910 |
| NPI Number | 1972849115 |
|---|---|
| Provider Enumeration Date | 12/17/2012 |
| Last Update Date | 09/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972849115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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