Family Care Clinic Adrian | |
102 E. Main Adrian MO 64720 | |
(816) 297-2640 | |
(660) 200-7015 |
Full Name | Family Care Clinic Adrian |
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Speciality | Clinic/Center |
Location | 102 E. Main, Adrian, Missouri |
Authorized Official Name and Position | Gregory Weaver (CEO) |
Authorized Official Contact | 6602007000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Care Clinic Adrian 102 E Main St. Adrian MO 64720 Ph: (816) 297-2640 | Family Care Clinic Adrian 102 E. Main Adrian MO 64720 Ph: (816) 297-2640 |
NPI Number | 1578797494 |
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Provider Enumeration Date | 05/06/2009 |
Last Update Date | 11/05/2021 |
Medicare PECOS PAC ID | 8123937356 |
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Medicare Enrollment ID | O20091201000040 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578797494 | NPI | - | NPPES |
599531001 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2006007886 (Missouri) | Secondary |
261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |
Adrian Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 E. Main, Adrian, MO 64720 Phone: 660-200-7108 Fax: 660-200-7015 | |
Adrian Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 57 East Main Street, Adrian, MO 64720 Phone: 816-297-8700 Fax: 816-297-8717 |