| Katy Trail Community Health | |
|
701 N Oak St Stover MO 65078-0842 | |
| (573) 377-4295 | |
| (660) 826-1300 |
| Full Name | Katy Trail Community Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 701 N Oak St, Stover, Missouri |
| Authorized Official Name and Position | Michael Waller (CEO) |
| Authorized Official Contact | 6608264774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katy Trail Community Health 821 Westwood Dr Sedalia MO 65301-2102 Ph: (660) 826-4474 | Katy Trail Community Health 701 N Oak St Stover MO 65078-0842 Ph: (573) 377-4295 |
| NPI Number | 1952655862 |
|---|---|
| Provider Enumeration Date | 10/30/2012 |
| Last Update Date | 02/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952655862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Capital Region Medical Clinic-stover Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2nd Street And Oak, Stover, MO 65078 Phone: 573-377-2313 Fax: 573-377-4243 | |
Katy Trail Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41569 Ivy Bend Rd, Stover, MO 65078 Phone: 877-733-5824 Fax: 888-979-8868 |