<unavail> in Mountain Grove, MO - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Mountain Grove, Missouri. The current practice location for is 205 W 3rd St Ste 3, Mountain Grove, Missouri. For appointments, you can reach them via phone at (417) 926-3743. The mailing address for is 205 W 3rd St Ste 3, Mountain Grove, Missouri and phone number is (417) 926-3743.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083705529. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (417) 926-3743.

Contact Information


	205 W 3rd St Ste 3 Mountain Grove MO 65711-1600
	(417) 926-3743
	(417) 926-7625

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	205 W 3rd St Ste 3, Mountain Grove, Missouri
Authorized Official Name and Position	Kenneth H Dugan (VICE-PRESIDENT)
Authorized Official Contact	4179263743
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
205 W 3rd St Ste 3 Mountain Grove MO 65711-1600 Ph: (417) 926-3743	205 W 3rd St Ste 3 Mountain Grove MO 65711-1600 Ph: (417) 926-3743

NPI Details:

NPI Number	1083705529
Provider Enumeration Date	09/28/2006
Last Update Date	11/12/2014

Medicare PECOS Information:

Medicare PECOS PAC ID	1052229622
Medicare Enrollment ID	O20021022000023

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083705529	NPI	-	NPPES
263939	Other	MO	RIVERBEND
596020800	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Mountain Grove, MO

Mountain Grove Medical And Laser Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 N Busch Ave, Mountain Grove, MO 65711 Phone: 417-926-6643 Fax: 417-926-6317
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1905 West 19th Street, Mountain Grove, MO 65711 Phone: 417-926-1770 Fax: 417-926-1785
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1905 West 19th Street, Mountain Grove, MO 65711 Phone: 417-926-1770 Fax: 417-926-1785
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 East 19th Street, Suite A, Mountain Grove, MO 65711 Phone: 417-926-6563 Fax: 417-926-5820
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 W 16th St, Mountain Grove, MO 65711 Phone: 417-926-6111 Fax: 417-926-6115
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1604 C. North Main Street, Mountain Grove, MO 65711 Phone: 417-926-1713 Fax: 417-926-1209

- Medicare Primary Care in Mountain Grove, MO