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607 S Main Street Suite B Concordia MO 64021 | |
(660) 463-1010 | |
(660) 463-1070 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 607 S Main Street, Concordia, Missouri |
Authorized Official Name and Position | Julie A Davenport (CEO) |
Authorized Official Contact | 6603354700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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607 S Main Street Suite B Concordia MO 64021 Ph: (660) 463-1010 | 607 S Main Street Suite B Concordia MO 64021 Ph: (660) 463-1010 |
NPI Number | 1336389865 |
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Provider Enumeration Date | 02/24/2009 |
Last Update Date | 04/27/2010 |
Identifier | Type | State | Issuer |
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1336389865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (Missouri) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Jared J Dirks Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 S Main St, Concordia, MO 64020 Phone: 660-463-7966 Fax: 660-463-7729 | |
Western Missouri Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 S Main St, Concordia, MO 64020 Phone: 660-463-7966 | |