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100 West 1st St Higginsville MO 64037 | |
(660) 584-2142 | |
(660) 584-6244 |
Full Name | |
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Speciality | Family Medicine |
Location | 100 West 1st St, Higginsville, Missouri |
Authorized Official Name and Position | Molly Jane Boeckmann (DIRECTOR OF ADMINISTRATIVE SERVICES) |
Authorized Official Contact | 5737514055 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1706 E Elm St Jefferson City MO 65101-4130 Ph: (573) 751-3398 | 100 West 1st St Higginsville MO 64037 Ph: (660) 584-2142 |
NPI Number | 1407803851 |
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Provider Enumeration Date | 05/30/2006 |
Last Update Date | 10/27/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407803851 | NPI | - | NPPES |
501499701 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
Western Missouri Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 W 22nd St, Higginsville, MO 64037 Phone: 660-262-7475 | |
Compass Health, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1810 Spruce St, Higginsville, MO 64037 Phone: 844-853-8937 | |