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590 Birch Rd Ste 2a Hollister MO 65672-9605 | |
(417) 335-7726 | |
(417) 335-7588 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 590 Birch Rd, Hollister, Missouri |
Authorized Official Name and Position | William K Mahoney (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4173357270 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 770 Branson MO 65615-0770 Ph: (417) 348-8611 | 590 Birch Rd Ste 2a Hollister MO 65672-9605 Ph: (417) 335-7726 |
NPI Number | 1295813541 |
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Provider Enumeration Date | 11/02/2006 |
Last Update Date | 02/08/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295813541 | NPI | - | NPPES |
596071605 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Southtowne Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Mall Rd, Suite H, Hollister, MO 65672 Phone: 417-336-5161 Fax: 417-336-0242 | |
Agape Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2331 S Business Highway 65, Hollister, MO 65672 Phone: 417-339-3033 Fax: 417-339-9133 | |