| Dexter Community Care Center | |
|
1008 N Main St Sikeston MO 63801-5044 | |
| (573) 471-1600 | |
| Not Available |
| Full Name | Dexter Community Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1008 N Main St, Sikeston, Missouri |
| Authorized Official Name and Position | Jason Schrumpf (CEO/PRESIDENT) |
| Authorized Official Contact | 5734727601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dexter Community Care Center 1523 W Business Hwy 60 Suite 1 Dexter MO 63841-2836 Ph: (573) 614-5762 | Dexter Community Care Center 1008 N Main St Sikeston MO 63801-5044 Ph: (573) 471-1600 |
| NPI Number | 1821462284 |
|---|---|
| Provider Enumeration Date | 11/23/2015 |
| Last Update Date | 11/23/2015 |
| Medicare PECOS PAC ID | 1355252891 |
|---|---|
| Medicare Enrollment ID | O20161111000456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821462284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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