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630 W Kearney St Springfield MO 65803-2508 | |
(417) 831-0150 | |
(417) 831-0155 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 630 W Kearney St, Springfield, Missouri |
Authorized Official Name and Position | Kenneth Brooks Miller (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4178310150 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 5681 Springfield MO 65801-5681 Ph: (417) 831-0150 | 630 W Kearney St Springfield MO 65803-2508 Ph: (417) 831-0150 |
NPI Number | 1275642282 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1275642282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
James M. Carmichael, Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3108 S Fremont Ave, Springfield, MO 65804 Phone: 417-886-4910 Fax: 417-886-4910 | |
Mercy Clinic Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 Fax: 417-820-2100 | |