Harrison County Family Health Center | |
2703 Miller St Bethany MO 64424-2704 | |
(660) 425-7443 | |
(660) 425-6516 |
Full Name | Harrison County Family Health Center |
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Speciality | Clinic/Center |
Location | 2703 Miller St, Bethany, Missouri |
Authorized Official Name and Position | Christina Gillespie (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6604252211 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Harrison County Family Health Center 2703 Miller St Bethany MO 64424-2704 Ph: (660) 425-7443 | Harrison County Family Health Center 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 |
Medicare PECOS PAC ID | 4587630926 |
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Medicare Enrollment ID | O20131205000551 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215358882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Francisco J Aleman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356618177 PECOS PAC ID: 2365660941 Enrollment ID: I20140822001151 |
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