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502 S Main St Gallatin MO 64640-1435 | |
(660) 663-3751 | |
(660) 663-3291 |
Full Name | |
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Speciality | Clinic/Center |
Location | 502 S Main St, Gallatin, Missouri |
Authorized Official Name and Position | Joe F Abrutz (ADMINISTRATOR) |
Authorized Official Contact | 8166493203 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1600 E Evergreen St Cameron MO 64429-2400 Ph: (816) 632-2101 | 502 S Main St Gallatin MO 64640-1435 Ph: (660) 663-3751 |
NPI Number | 1134363930 |
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Provider Enumeration Date | 04/23/2009 |
Last Update Date | 07/17/2009 |
Medicare PECOS PAC ID | 5092622001 |
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Medicare Enrollment ID | O20090205000610 |
Identifier | Type | State | Issuer |
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1134363930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 4736 (Missouri) | Primary |
Access Ii Independence Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Industrial Pkwy, Gallatin, MO 64640 Phone: 660-663-2423 Fax: 660-663-2517 | |