Full Name | |
---|---|
Speciality | Clinic/center |
Location | 1 Town Sq, Malden, Missouri |
Authorized Official Name and Position | Syreeta Barnes (CLINIC BILLING COORDINATOR) |
Authorized Official Contact | 5732766090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1 Town Sq Malden MO 63863-2171 Ph: (573) 276-6090 | 1 Town Sq Malden MO 63863-2171 Ph: (573) 276-6090 |
NPI Number | 1437281656 |
---|---|
Provider Enumeration Date | 03/12/2007 |
Last Update Date | 06/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437281656 | NPI | - | NPPES |
520525908 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Mcpherson Medical & Diagnostic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1207 N Douglass St, Malden, MO 63863 Phone: 573-276-3884 Fax: 573-276-3885 | |