| |
849 Jeffco Blvd Arnold MO 63010-1409 | |
(636) 287-0440 | |
(636) 333-1827 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 849 Jeffco Blvd, Arnold, Missouri |
Authorized Official Name and Position | Teresa L Porter (CREDENTIALING MANAGER) |
Authorized Official Contact | 6364666452 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1800 Community Clinton MO 64735-8804 Ph: (844) 853-8937 | 849 Jeffco Blvd Arnold MO 63010-1409 Ph: (636) 287-0440 |
NPI Number | 1669844130 |
---|---|
Provider Enumeration Date | 10/23/2015 |
Last Update Date | 08/17/2023 |
Medicare PECOS PAC ID | 1951206754 |
---|---|
Medicare Enrollment ID | O20230912000407 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669844130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Medwin Primary Care L.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3619 Richardson Square Dr, Arnold, MO 63010 Phone: 636-461-1414 | |
Arnold Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8 Arnold Mall, Arnold, MO 63010 Phone: 636-296-7510 Fax: 636-296-4041 | |
Compass Health, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 148 Richardson Xing, Arnold, MO 63010 Phone: 844-853-8937 | |
Compass Health, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 Jeffco Blvd, Arnold, MO 63010 Phone: 844-853-8937 |