| |
723 S Main St Lockwood MO 65682-0301 | |
(417) 232-5200 | |
(417) 232-5220 |
Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 723 S Main St, Lockwood, Missouri |
Authorized Official Name and Position | T J Killingsworth (BUSINESS OFFICE SUPERVISOR) |
Authorized Official Contact | 4172325200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
723 S Main St Lockwood MO 65682-0301 Ph: (417) 232-5200 | 723 S Main St Lockwood MO 65682-0301 Ph: (417) 232-5200 |
NPI Number | 1427256007 |
---|---|
Provider Enumeration Date | 07/05/2007 |
Last Update Date | 05/26/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427256007 | NPI | - | NPPES |
1184881090 | Medicaid | MO | |
1689717456 | Other | MO | THOMAS A HOPKINS MD |
1427256007 | Medicaid | MO | |
1013010370 | Other | MO | MICHELLE ADRIANA BOICE M.D. |
1497962260 | Other | MO | DEBBIE JOHNSON FNP |
540421401 | Medicaid | MO | |
1104801547 | Medicaid | MO |