Lake Area Primary Care Clinic | |
Hwy 54 East Wheatland MO 65779 | |
(417) 282-5882 | |
(417) 282-5681 |
Full Name | Lake Area Primary Care Clinic |
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Speciality | Clinic/center - Rural Health |
Location | Hwy 54 East, Wheatland, Missouri |
Authorized Official Name and Position | Mary C Smiley (CEO) |
Authorized Official Contact | 4176468181 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lake Area Primary Care Clinic Hwy 54 East Wheatland MO 65779-7501 Ph: (417) 282-5882 | Lake Area Primary Care Clinic Hwy 54 East Wheatland MO 65779 Ph: (417) 282-5882 |
NPI Number | 1386728798 |
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Provider Enumeration Date | 10/24/2006 |
Last Update Date | 04/09/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386728798 | NPI | - | NPPES |
505985200 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |