| Live Well Community Health Center Independence | |
|
17611 E Us Highway 24 Ste Hcc Independence MO 64056-1853 | |
| (877) 344-3572 | |
| (866) 228-4492 |
| Full Name | Live Well Community Health Center Independence |
|---|---|
| Speciality | Clinic/Center |
| Location | 17611 E Us Highway 24, Independence, Missouri |
| Authorized Official Name and Position | Toniann Richard (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8168077774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Community Health Center Independence 825 S Business Highway 13 Lexington MO 64067-1515 Ph: (660) 259-2440 | Live Well Community Health Center Independence 17611 E Us Highway 24 Ste Hcc Independence MO 64056-1853 Ph: (877) 344-3572 |
| NPI Number | 1760150817 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 05/10/2024 |
| Medicare PECOS PAC ID | 6800034679 |
|---|---|
| Medicare Enrollment ID | O20220121001705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760150817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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