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811 S Business Highway 13 Ste A Lexington MO 64067-1572 | |
(877) 344-3572 | |
(866) 228-4492 |
Full Name | |
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Speciality | Clinic/Center |
Location | 811 S Business Highway 13 Ste A, Lexington, Missouri |
Authorized Official Name and Position | Toniann Richard (CEO) |
Authorized Official Contact | 6602592440 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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825 S Business Highway 13 Lexington MO 64067-1515 Ph: (660) 259-2440 | 811 S Business Highway 13 Ste A Lexington MO 64067-1572 Ph: (877) 344-3572 |
NPI Number | 1295356731 |
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Provider Enumeration Date | 05/06/2020 |
Last Update Date | 05/10/2024 |
Medicare PECOS PAC ID | 6800034679 |
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Medicare Enrollment ID | O20200512002094 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295356731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Wentworth Military Academy And Junior College Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1880 Washington Ave, Lexington, MO 64067 Phone: 660-259-2221 Fax: 660-259-2677 | |
Family Health Medical Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 S Highway 13, Lexington, MO 64067 Phone: 660-259-2240 Fax: 660-259-2250 | |
Family Health Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 S Highway 13, Lexington, MO 64067 Phone: 660-259-2240 Fax: 660-259-2250 | |