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101 E Hayward St Meadville MO 64659-9201 | |
(660) 938-4213 | |
(660) 938-4211 |
Full Name | |
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Speciality | Clinic/Center |
Location | 101 E Hayward St, Meadville, Missouri |
Authorized Official Name and Position | Kenneth E Baranski (CFO) |
Authorized Official Contact | 6602581288 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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101 E Hayward St Po Box 131 Meadville MO 64659-9201 Ph: (660) 938-4213 | 101 E Hayward St Meadville MO 64659-9201 Ph: (660) 938-4213 |
NPI Number | 1285995944 |
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Provider Enumeration Date | 05/30/2012 |
Last Update Date | 11/08/2023 |
Medicare PECOS PAC ID | 2860306750 |
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Medicare Enrollment ID | O20121030000308 |
Identifier | Type | State | Issuer |
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1285995944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |