Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 607 S 3rd St, Odessa, Missouri |
Authorized Official Name and Position | Toniann Richard (CEO) |
Authorized Official Contact | 6602592440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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825 S Business Highway 13 Lexington MO 64067-1515 Ph: (660) 259-2440 | 607 S 3rd St Odessa MO 64076-1417 Ph: (877) 344-3572 |
NPI Number | 1649814112 |
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Provider Enumeration Date | 10/29/2019 |
Last Update Date | 03/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649814112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Compass Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1278 W Us Highway 40, Odessa, MO 64076 Phone: 816-633-5921 | |
Odessa Eye Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 N 2nd St Ste C, Odessa, MO 64076 Phone: 816-230-5321 Fax: 816-565-2288 |