<unavail> in Lebanon, MO - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Lebanon, Missouri. The current practice location for is 860 Lynn St, Lebanon, Missouri. For appointments, you can reach them via phone at (417) 334-8337. The mailing address for is 440 E Tampa St, Springfield, Missouri and phone number is (417) 831-0150.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1356424352. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (417) 334-8337.

Contact Information


	860 Lynn St Lebanon MO 65536-3810
	(417) 334-8337
	(417) 868-8798

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	860 Lynn St, Lebanon, Missouri
Authorized Official Name and Position	Kenneth Brooks Miller (CEO)
Authorized Official Contact	4178311551
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
440 E Tampa St Springfield MO 65806-1131 Ph: (417) 831-0150	860 Lynn St Lebanon MO 65536-3810 Ph: (417) 334-8337

NPI Details:

NPI Number	1356424352
Provider Enumeration Date	10/23/2006
Last Update Date	12/02/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	5395653562
Medicare Enrollment ID	O20151014002508

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356424352	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Lebanon, MO

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Philip W Caster Md And John P Caster Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 S Madison Ave, Lebanon, MO 65536 Phone: 417-532-9161 Fax: 417-532-8360
Family Health Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 Hospital Dr, Lebanon, MO 65536 Phone: 417-532-7850 Fax: 417-532-2451
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Highway 32, Lebanon, MO 65536 Phone: 417-269-2278 Fax: 417-269-2274
Advocates For A Healthy Community, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Hoover St, Lebanon, MO 65536 Phone: 417-334-8337 Fax: 417-532-2067
Advocates For A Healthy Community, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2020 Evergreen Pkwy, Lebanon, MO 65536 Phone: 417-334-8337 Fax: 417-832-8275

- Medicare Primary Care in Lebanon, MO