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2703 Miller St Bethany MO 64424-2704 | |
(660) 425-7443 | |
(660) 425-6516 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 2703 Miller St, Bethany, Missouri |
Authorized Official Name and Position | Christina Gillespie (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6604252211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2703 Miller St Bethany MO 64424-2704 Ph: (660) 425-7443 | 2703 Miller St Bethany MO 64424-2704 Ph: (660) 425-7443 |
NPI Number | 1215358882 |
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Provider Enumeration Date | 12/26/2013 |
Last Update Date | 03/18/2021 |
Identifier | Type | State | Issuer |
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1215358882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Infinity Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2600 Miller St, Bethany, MO 64424 Phone: 414-462-3836 | |
Bethany Medical Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3202 Miller St, Bethany, MO 64424 Phone: 660-425-3154 Fax: 660-425-6663 |