| Dale Family Medicine | |
|
1340 S Sam Houston Blvd Houston MO 65483-2045 | |
| (417) 967-3755 | |
| (417) 967-2630 |
| Full Name | Dale Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1340 S Sam Houston Blvd, Houston, Missouri |
| Authorized Official Name and Position | Amy D Ledbetter (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5736514488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dale Family Medicine 1340 S Sam Houston Blvd Houston MO 65483-2045 Ph: (417) 967-3755 | Dale Family Medicine 1340 S Sam Houston Blvd Houston MO 65483-2045 Ph: (417) 967-3755 |
| NPI Number | 1184899916 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184899916 | NPI | - | NPPES |
| 503362600 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Hometown Healthcare And Wellness Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E Pine St, Houston, MO 65483 Phone: 417-967-0537 Fax: 417-967-0542 | |