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17571 N Dam Access Rd Warsaw MO 65355-6396 | |
(660) 438-2717 | |
(660) 438-2313 |
Full Name | |
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Speciality | Clinic/Center |
Location | 17571 N Dam Access Rd, Warsaw, Missouri |
Authorized Official Name and Position | Mike Waller (CEO) |
Authorized Official Contact | 6604382717 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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821 Westwood Dr Sedalia MO 65301 Ph: (660) 826-4774 | 17571 N Dam Access Rd Warsaw MO 65355-6396 Ph: (660) 438-2717 |
NPI Number | 1053533539 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 02/21/2024 |
Medicare PECOS PAC ID | 8224926092 |
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Medicare Enrollment ID | O20060907000591 |
Identifier | Type | State | Issuer |
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1053533539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Missouri) | Primary |
Regional Health Care Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 E Main Street, Warsaw, MO 65355 Phone: 660-438-6135 Fax: 660-438-3053 |