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816 E Main St Willow Springs MO 65793-1518 | |
(417) 469-3116 | |
(417) 469-3151 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 816 E Main St, Willow Springs, Missouri |
Authorized Official Name and Position | David P Taylor (VICE PRESIDENT) |
Authorized Official Contact | 4172696262 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 4046 Springfield MO 65808-4046 Ph: (417) 269-7834 | 816 E Main St Willow Springs MO 65793-1518 Ph: (417) 469-3116 |
NPI Number | 1023188562 |
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Provider Enumeration Date | 11/09/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1023188562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Valley Medical Center P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 S Harris St, Willow Springs, MO 65793 Phone: 417-469-3175 Fax: 417-469-1274 | |