| |
407 Main Street Golden City MO 64748 | |
(417) 537-4311 | |
(417) 537-4330 |
Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 407 Main Street, Golden City, Missouri |
Authorized Official Name and Position | T J Killingsworth (CLINIC BUSINESS COORDINATOR) |
Authorized Official Contact | 4175374311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
407 Main Street Golden City MO 64748 Ph: (417) 537-4311 | 407 Main Street Golden City MO 64748 Ph: (417) 537-4311 |
NPI Number | 1790972909 |
---|---|
Provider Enumeration Date | 10/02/2007 |
Last Update Date | 05/26/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790972909 | NPI | - | NPPES |
207607905 | Medicaid | MO | |
1790972909 | Medicaid | MO | |
1689717456 | Other | MO | THOMAS A. HOPKINS MD |
428676829 | Medicaid | MO |