| Jamesport Outreach Clinic | |
|
409 W Auberry Grv Jamesport MO 64648-7189 | |
| (660) 684-6252 | |
| (660) 684-6254 |
| Full Name | Jamesport Outreach Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 409 W Auberry Grv, Jamesport, Missouri |
| Authorized Official Name and Position | Joseph F Abrutz (CEO) |
| Authorized Official Contact | 8166322101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamesport Outreach Clinic 1600 E Evergreen St Po Box 557 Cameron MO 64429-2400 Ph: (816) 649-3348 | Jamesport Outreach Clinic 409 W Auberry Grv Jamesport MO 64648-7189 Ph: (660) 684-6252 |
| NPI Number | 1740294040 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 04/30/2014 |
| Medicare PECOS PAC ID | 5092622001 |
|---|---|
| Medicare Enrollment ID | O20080130000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740294040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Wright Memorial Jamesport Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 W 2nd St, Jamesport, MO 64648 Phone: 660-684-6244 Fax: 660-684-6246 |