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1026 Main St Lexington MO 64067-1345 | |
(660) 259-2216 | |
(660) 259-3942 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1026 Main St, Lexington, Missouri |
Authorized Official Name and Position | Darrel Box (CEO LRHC) |
Authorized Official Contact | 6602596852 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1026 Main St Lexington MO 64067-1345 Ph: (660) 259-2216 | 1026 Main St Lexington MO 64067-1345 Ph: (660) 259-2216 |
NPI Number | 1053376947 |
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Provider Enumeration Date | 04/20/2006 |
Last Update Date | 01/06/2022 |
Medicare PECOS PAC ID | 0941119150 |
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Medicare Enrollment ID | O20070912000019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053376947 | NPI | - | NPPES |
540568508 | Medicaid | MO | |
595956202 | Medicaid | MO | |
010568509 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Wentworth Military Academy And Junior College Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1880 Washington Ave, Lexington, MO 64067 Phone: 660-259-2221 Fax: 660-259-2677 | |
Family Health Medical Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 S Highway 13, Lexington, MO 64067 Phone: 660-259-2240 Fax: 660-259-2250 | |
Family Health Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 S Highway 13, Lexington, MO 64067 Phone: 660-259-2240 Fax: 660-259-2250 | |