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226 E Us Highway 54 Camdenton MO 65020-6819 | |
(573) 873-2521 | |
(573) 346-0053 |
Full Name | |
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Speciality | Clinic/Center |
Location | 226 E Us Highway 54, Camdenton, Missouri |
Authorized Official Name and Position | Kevin Mcroberts (CEO) |
Authorized Official Contact | 5733488756 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 801661 Kansas City MO 64180-3050 Ph: (573) 348-8399 | 226 E Us Highway 54 Camdenton MO 65020-6819 Ph: (573) 873-2521 |
NPI Number | 1184393092 |
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Provider Enumeration Date | 09/13/2021 |
Last Update Date | 10/12/2023 |
Medicare PECOS PAC ID | 9133026776 |
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Medicare Enrollment ID | O20210924000170 |
Identifier | Type | State | Issuer |
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1184393092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |