Kingsville Medical Clinic | |
305 E Pacific St Kingsville MO 64061-2512 | |
(816) 597-3500 | |
(816) 597-3555 |
Full Name | Kingsville Medical Clinic |
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Speciality | Clinic/Center |
Location | 305 E Pacific St, Kingsville, Missouri |
Authorized Official Name and Position | John Christopher Lang (CEO) |
Authorized Official Contact | 8163805888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kingsville Medical Clinic Po Box 111 Kingsville MO 64061-0111 Ph: (816) 597-3500 | Kingsville Medical Clinic 305 E Pacific St Kingsville MO 64061-2512 Ph: (816) 597-3500 |
NPI Number | 1518269257 |
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Provider Enumeration Date | 12/01/2010 |
Last Update Date | 12/01/2010 |
Medicare PECOS PAC ID | 7517853781 |
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Medicare Enrollment ID | O20101220001110 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518269257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Western Johnson County Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 E Pacific St, Kingsville, MO 64061 Phone: 816-597-3500 Fax: 816-597-3555 | |
Kingsville Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 E Pacific St, Kingsville, MO 64061 Phone: 816-597-3500 Fax: 816-597-3555 | |
Western Johnson County Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 E Pacific St, Kingsville, MO 64061 Phone: 816-597-3500 Fax: 816-597-3555 |