Health Way Primary Care Clinic | |
200 Health Way Dr Potosi MO 63664-1434 | |
(573) 438-2977 | |
(573) 438-5460 |
Full Name | Health Way Primary Care Clinic |
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Speciality | Clinic/Center |
Location | 200 Health Way Dr, Potosi, Missouri |
Authorized Official Name and Position | Debra Pratt (CFO) |
Authorized Official Contact | 5734385451 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Health Way Primary Care Clinic 200 Health Way Dr Potosi MO 63664-1434 Ph: (573) 438-2977 | Health Way Primary Care Clinic 200 Health Way Dr Potosi MO 63664-1434 Ph: (573) 438-2977 |
NPI Number | 1598737827 |
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Provider Enumeration Date | 02/02/2006 |
Last Update Date | 08/27/2020 |
Medicare PECOS PAC ID | 3476456880 |
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Medicare Enrollment ID | O20040525000257 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598737827 | NPI | - | NPPES |
596896704 | Medicaid | MO | |
506896703 | Medicaid | MO |
Provider Name | Christopher Ryan Massey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346890696 PECOS PAC ID: 1153730817 Enrollment ID: I20210510001004 |
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