| Fredericktown Primary Care | |
|
309 Garrett St Fredericktown MO 63645-1084 | |
| (573) 783-4683 | |
| (573) 783-4684 |
| Full Name | Fredericktown Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 309 Garrett St, Fredericktown, Missouri |
| Authorized Official Name and Position | Michael Portacci (PRESIDENT) |
| Authorized Official Contact | 6154657029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fredericktown Primary Care Po Box 504354 Saint Louis MO 63150-0001 Ph: (573) 783-4683 | Fredericktown Primary Care 309 Garrett St Fredericktown MO 63645-1084 Ph: (573) 783-4683 |
| NPI Number | 1063517613 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063517613 | NPI | - | NPPES |
| 15055 | Other | MO | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Missouri) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Beyer Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 W Main St, Fredericktown, MO 63645 Phone: 573-747-9703 Fax: 573-783-8890 | |
Dba Tradewinds Palliative Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Kingsbury Blvd, Fredericktown, MO 63645 Phone: 573-783-7625 Fax: 573-783-2126 | |
Robbins Family Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 355 N Chamber Dr, Fredericktown, MO 63645 Phone: 573-944-7231 Fax: 573-561-1166 | |
Madison Medical Center Rhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 West Main Street, Fredericktown, MO 63645 Phone: 573-783-3341 Fax: 573-783-1096 | |
Chands' Medical Office Of Fredericktown Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Chamber Dr, Fredericktown, MO 63645 Phone: 573-783-2320 Fax: 573-783-4494 |