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1502 Ward Ave Caruthersville MO 63830-2571 | |
(573) 333-4244 | |
(573) 333-4551 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1502 Ward Ave, Caruthersville, Missouri |
Authorized Official Name and Position | Glenn Haynes (CEO) |
Authorized Official Contact | 5733592930 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 37 Hayti MO 63851-0037 Ph: (573) 359-2930 | 1502 Ward Ave Caruthersville MO 63830-2571 Ph: (573) 333-4244 |
NPI Number | 1851373906 |
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Provider Enumeration Date | 11/15/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1851373906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Caruthersville Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Ward Ave, Caruthersville, MO 63830 Phone: 579-333-0033 Fax: 573-333-2522 | |
Wt Regional Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 W 15th St, Caruthersville, MO 63830 Phone: 573-333-0033 Fax: 573-333-2522 | |
Grace Family Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 Ward Ave, Caruthersville, MO 63830 Phone: 573-922-5111 Fax: 573-922-5126 |