| Haven Health Care Medical Clinic, Inc | |
|
502 W Sturdivant St Advance MO 63730-7261 | |
| (573) 722-9191 | |
| (573) 722-9393 |
| Full Name | Haven Health Care Medical Clinic, Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 502 W Sturdivant St, Advance, Missouri |
| Authorized Official Name and Position | Nova C Crawford (PRESIDENT) |
| Authorized Official Contact | 5737229191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Health Care Medical Clinic, Inc 502 W Sturdivant St Po Box 137 Advance MO 63730-7261 Ph: (573) 722-9191 | Haven Health Care Medical Clinic, Inc 502 W Sturdivant St Advance MO 63730-7261 Ph: (573) 722-9191 |
| NPI Number | 1336278365 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 08/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336278365 | NPI | - | NPPES |
| 597241306 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 268934 (Missouri) | Primary |
Cross Trails Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 307 Gabriel St., Advance, MO 63730 Phone: 573-722-3034 Fax: 573-722-3244 | |
Advance Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 South Oak Street, Advance, MO 63730 Phone: 573-722-3467 Fax: 573-722-3469 | |
Haven Health Cares Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 West Sturdivant Street, Advance, MO 63730 Phone: 573-722-9191 Fax: 573-722-9393 |