| Katy Trail - Prairie Hills | |
|
1109 Clay Rd. Versailles MO 65084 | |
| (573) 378-2351 | |
| Not Available |
| Full Name | Katy Trail - Prairie Hills |
|---|---|
| Speciality | Clinic/Center |
| Location | 1109 Clay Rd., Versailles, Missouri |
| Authorized Official Name and Position | Michael Waller (CEO) |
| Authorized Official Contact | 5733782351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katy Trail - Prairie Hills 821 Westwood Dr Sedalia MO 65301-2102 Ph: (660) 826-4774 | Katy Trail - Prairie Hills 1109 Clay Rd. Versailles MO 65084 Ph: (573) 378-2351 |
| NPI Number | 1053694422 |
|---|---|
| Provider Enumeration Date | 09/22/2011 |
| Last Update Date | 02/21/2024 |
| Medicare PECOS PAC ID | 8224926092 |
|---|---|
| Medicare Enrollment ID | O20111122000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053694422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Missouri) | Primary |
Katy Trail - Versailles School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 913 W Newton St, Versailles, MO 65084 Phone: 660-851-7770 Fax: 660-827-8992 | |
Citizens For Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N Fisher St, Versailles, MO 65084 Phone: 573-378-2349 Fax: 573-378-2350 | |
Capital Region Physicians - Versailles Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Kidwell Dr, Versailles, MO 65084 Phone: 573-378-4666 Fax: 573-378-5099 |