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286 Chestnut Street Osceola MO 64776-0566 | |
(660) 885-8171 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 286 Chestnut Street, Osceola, Missouri |
Authorized Official Name and Position | Kyle Adkins (ADMINISTRATOR) |
Authorized Official Contact | 6608858171 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 566 Osceola MO 64776-0566 Ph: (660) 885-8171 | 286 Chestnut Street Osceola MO 64776-0566 Ph: (660) 885-8171 |
NPI Number | 1124437918 |
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Provider Enumeration Date | 08/06/2014 |
Last Update Date | 08/07/2014 |
Medicare PECOS PAC ID | 4688561814 |
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Medicare Enrollment ID | O20140908000899 |
Identifier | Type | State | Issuer |
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1124437918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 066060 (Missouri) | Primary |
363LF0000X | Nurse Practitioner - Family | 066060 (Missouri) | Secondary |