| |
1819 S National Ave Springfield MO 65804-2217 | |
(417) 269-5437 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 1819 S National Ave, Springfield, Missouri |
Authorized Official Name and Position | Jacob Mcway (EXECUTIVE VP & CFO) |
Authorized Official Contact | 4172698811 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 505673 Saint Louis MO 63150-5673 Ph: (417) 730-6430 | 1819 S National Ave Springfield MO 65804-2217 Ph: (417) 269-5437 |
NPI Number | 1710585096 |
---|---|
Provider Enumeration Date | 10/09/2020 |
Last Update Date | 11/01/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710585096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
James M. Carmichael, Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3108 S Fremont Ave, Springfield, MO 65804 Phone: 417-886-4910 Fax: 417-886-4910 | |
Mercy Clinic Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 Fax: 417-820-2100 | |