| Crider Health Center,inc | |
|
416 Market St Washington MO 63090-2610 | |
| (636) 239-8397 | |
| Not Available |
| Full Name | Crider Health Center,inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 416 Market St, Washington, Missouri |
| Authorized Official Name and Position | Laura Heebner (SEN VP COO) |
| Authorized Official Contact | 6363328000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crider Health Center,inc 1032 Crosswinds Ct Wentzville MO 63385-4836 Ph: (636) 332-8000 | Crider Health Center,inc 416 Market St Washington MO 63090-2610 Ph: (636) 239-8397 |
| NPI Number | 1790970721 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 05/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790970721 | NPI | - | NPPES |
| 504605338 | Medicaid | MO | |
| 26-1012 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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