| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 West Main, Matthews, Missouri |
| Authorized Official Name and Position | Marilyn Y Chapman (FNP OWNER) |
| Authorized Official Contact | 5734711514 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 358 Matthews MO 63867-0358 Ph: (573) 471-1514 | 201 West Main Matthews MO 63867 Ph: (573) 471-1514 |
| NPI Number | 1144214974 |
|---|---|
| Provider Enumeration Date | 09/08/2005 |
| Last Update Date | 09/06/2007 |
| Medicare PECOS PAC ID | 5395775456 |
|---|---|
| Medicare Enrollment ID | O20050818000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144214974 | NPI | - | NPPES |
| 000014714 | Other | MO | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Compassionate Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 West Main, Matthews, MO 63867 Phone: 573-471-1514 Fax: 573-471-1517 | |