| Dekalb Health Services | |
|
1007 S Polk St Maysville MO 64469-4030 | |
| (816) 449-2123 | |
| (816) 449-2125 |
| Full Name | Dekalb Health Services |
|---|---|
| Speciality | Family Medicine |
| Location | 1007 S Polk St, Maysville, Missouri |
| Authorized Official Name and Position | Fred Kiehl (PRESIDENT) |
| Authorized Official Contact | 8164492123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dekalb Health Services 1007 S Polk St Maysville MO 64469-4030 Ph: (816) 449-2123 | Dekalb Health Services 1007 S Polk St Maysville MO 64469-4030 Ph: (816) 449-2123 |
| NPI Number | 1215150735 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 12/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215150735 | NPI | - | NPPES |
| DB1347 | Other | RAILROAD MEDICARE PTAN | |
| P900000 | Other | MEDICARE PTAN | |
| 593197007 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Maysville Family Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1007 S Polk St, Maysville, MO 64469 Phone: 816-449-2123 Fax: 816-449-2125 |