| Family Practice Of Central Missouri - Higginsville | |
|
1200 W 22nd St Higginsville MO 64037 | |
| (660) 584-7751 | |
| (660) 584-6149 |
| Full Name | Family Practice Of Central Missouri - Higginsville |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 W 22nd St, Higginsville, Missouri |
| Authorized Official Name and Position | Michael Dean Ohmart (CFO) |
| Authorized Official Contact | 6602627307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Of Central Missouri - Higginsville 1200 W 22nd St Higginsville MO 64037-1420 Ph: (660) 262-7751 | Family Practice Of Central Missouri - Higginsville 1200 W 22nd St Higginsville MO 64037 Ph: (660) 584-7751 |
| NPI Number | 1194275362 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 11/01/2021 |
| Medicare PECOS PAC ID | 4183904865 |
|---|---|
| Medicare Enrollment ID | O20161228000986 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194275362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Higginsville Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 W 22nd St, Higginsville, MO 64037 Phone: 660-584-7751 Fax: 660-584-8261 |