| Farmington R-vii - Jefferson Elementary | |
|
9 Summit Dr Ofc B14 Farmington MO 63640-1641 | |
| (573) 438-9355 | |
| Not Available |
| Full Name | Farmington R-vii - Jefferson Elementary |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 9 Summit Dr Ofc B14, Farmington, Missouri |
| Authorized Official Name and Position | Gregory A Roeback (CEO) |
| Authorized Official Contact | 5734388359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farmington R-vii - Jefferson Elementary Po Box 761 Potosi MO 63664-0761 Ph: (573) 438-9355 | Farmington R-vii - Jefferson Elementary 9 Summit Dr Ofc B14 Farmington MO 63640-1641 Ph: (573) 438-9355 |
| NPI Number | 1659946036 |
|---|---|
| Provider Enumeration Date | 05/26/2021 |
| Last Update Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659946036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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