Eureka Medical Llc | |
97 Hill Top Village Center Suite E & F Eureka MO 63025-1184 | |
(636) 938-6060 | |
(636) 587-9712 |
Full Name | Eureka Medical Llc |
---|---|
Speciality | Family Medicine |
Location | 97 Hill Top Village Center, Eureka, Missouri |
Authorized Official Name and Position | David Lawrence Pittenger (CONTROLING OWNER) |
Authorized Official Contact | 6369386060 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eureka Medical Llc 97 Hill Top Village Center Suite E & F Eureka MO 63025-1184 Ph: (636) 938-6060 | Eureka Medical Llc 97 Hill Top Village Center Suite E & F Eureka MO 63025-1184 Ph: (636) 938-6060 |
NPI Number | 1194820860 |
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Provider Enumeration Date | 09/14/2006 |
Last Update Date | 02/04/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194820860 | NPI | - | NPPES |
501125900 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D030648 (Missouri) | Primary |
207R00000X | Internal Medicine | 2002004657 (Missouri) | Secondary |
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On Track Pediatric Therapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 The Legends Pkwy Ste 157, Eureka, MO 63025 Phone: 636-252-4464 Fax: 636-442-1455 | |
Primary Care Of Cedar Hill Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 Hilltop Village Center Dr, Eureka, MO 63025 Phone: 636-587-6350 Fax: 636-529-0699 | |
Eureka Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 The Legends Pkwy, Suite 100, Eureka, MO 63025 Phone: 636-938-7888 Fax: 636-938-7171 | |
Patients First Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 The Legends Pkwy, Eureka, MO 63025 Phone: 636-549-0100 Fax: 636-549-0101 |