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101 E Cross Street Hamilton MO 64644 | |
(816) 583-2713 | |
(816) 583-2342 |
Full Name | |
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Speciality | Clinic/Center |
Location | 101 E Cross Street, Hamilton, Missouri |
Authorized Official Name and Position | Matt Younger (CEO) |
Authorized Official Contact | 8162326818 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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101 E Cross Street Hamilton MO 64644-8311 Ph: (816) 583-2151 | 101 E Cross Street Hamilton MO 64644 Ph: (816) 583-2713 |
NPI Number | 1841312444 |
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Provider Enumeration Date | 04/04/2007 |
Last Update Date | 11/10/2021 |
Medicare PECOS PAC ID | 7113835174 |
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Medicare Enrollment ID | O20080731000525 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841312444 | NPI | - | NPPES |
501330427 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |