| Healthy Choice | |
|
111 E 1st St Montgomery City MO 63361-2550 | |
| (573) 564-3214 | |
| (573) 564-3216 |
| Full Name | Healthy Choice |
|---|---|
| Speciality | Clinic/Center |
| Location | 111 E 1st St, Montgomery City, Missouri |
| Authorized Official Name and Position | Londa Y Swoboda (OWNER) |
| Authorized Official Contact | 5735643214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Choice 111 E 1st St Montgomery City MO 63361-2550 Ph: (573) 564-3214 | Healthy Choice 111 E 1st St Montgomery City MO 63361-2550 Ph: (573) 564-3214 |
| NPI Number | 1922485259 |
|---|---|
| Provider Enumeration Date | 05/06/2015 |
| Last Update Date | 01/10/2019 |
| Medicare PECOS PAC ID | 1850609637 |
|---|---|
| Medicare Enrollment ID | O20150928001725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922485259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 102389 (Missouri) | Secondary |
| Provider Name | Londa Y Swoboda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851567762 PECOS PAC ID: 8022280411 Enrollment ID: I20111006000679 |
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