| Dade County Health Department | |
|
413 W Water St Greenfield MO 65661-1353 | |
| (417) 637-2345 | |
| (417) 637-2507 |
| Full Name | Dade County Health Department |
|---|---|
| Speciality | Clinic/Center |
| Location | 413 W Water St, Greenfield, Missouri |
| Authorized Official Name and Position | Alisha J Masterson (INSURANCE BILLING/OFFICE MANAGER) |
| Authorized Official Contact | 4176372345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dade County Health Department 413 W Water St Greenfield MO 65661-1353 Ph: (417) 637-2345 | Dade County Health Department 413 W Water St Greenfield MO 65661-1353 Ph: (417) 637-2345 |
| NPI Number | 1114174935 |
|---|---|
| Provider Enumeration Date | 08/22/2008 |
| Last Update Date | 09/21/2020 |
| Medicare PECOS PAC ID | 6800056045 |
|---|---|
| Medicare Enrollment ID | O20120327000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114174935 | NPI | - | NPPES |
| 512460304 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Dade County Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 N. Grand St., Suite 2, Greenfield, MO 65661 Phone: 417-637-5133 Fax: 417-637-5124 |