Jefferson Medical Group Norborne Clinic | |
105 E 2nd St Norborne MO 64668-1301 | |
(660) 593-3623 | |
(660) 593-3628 |
Full Name | Jefferson Medical Group Norborne Clinic |
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Speciality | Clinic/center - Rural Health |
Location | 105 E 2nd St, Norborne, Missouri |
Authorized Official Name and Position | Amy Danielle Ireland (CFO) |
Authorized Official Contact | 6603296005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jefferson Medical Group Norborne Clinic 1502 N Jefferson St Carrollton MO 64633-1948 Ph: (660) 542-9998 | Jefferson Medical Group Norborne Clinic 105 E 2nd St Norborne MO 64668-1301 Ph: (660) 593-3623 |
NPI Number | 1467742452 |
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Provider Enumeration Date | 04/12/2011 |
Last Update Date | 10/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467742452 | NPI | - | NPPES |
596573204 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |