| Hedrick Medical Cener - Chillicothe Medical Clinic | |
|
103 11th St Suite 14 Chillicothe MO 64601-1554 | |
| (660) 646-2682 | |
| (660) 646-2688 |
| Full Name | Hedrick Medical Cener - Chillicothe Medical Clinic |
|---|---|
| Speciality | Physician Assistant |
| Location | 103 11th St, Chillicothe, Missouri |
| Authorized Official Name and Position | Holly H Minnis (OFFICE MANAGER) |
| Authorized Official Contact | 6606462682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hedrick Medical Cener - Chillicothe Medical Clinic 103 11th St Suite 14 Chillicothe MO 64601-1676 Ph: (660) 646-2682 | Hedrick Medical Cener - Chillicothe Medical Clinic 103 11th St Suite 14 Chillicothe MO 64601-1554 Ph: (660) 646-2682 |
| NPI Number | 1548345879 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548345879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 107238 (Missouri) | Primary |
| 207R00000X | Internal Medicine | 106544 (Missouri) | Primary |
| 363A00000X | Physician Assistant | 2002012315 (Missouri) | Primary |
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