| Medstop One Inc | |
|
3065 William St Suite 209 Cape Girardeau MO 63703-6393 | |
| (573) 335-4100 | |
| (573) 339-7887 |
| Full Name | Medstop One Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3065 William St, Cape Girardeau, Missouri |
| Authorized Official Name and Position | David J. Cantrell (BUSINESS MANAGER) |
| Authorized Official Contact | 5733354100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medstop One Inc 3065 William St Ste 209 Cape Girardeau MO 63703-6393 Ph: (573) 335-4100 | Medstop One Inc 3065 William St Suite 209 Cape Girardeau MO 63703-6393 Ph: (573) 335-4100 |
| NPI Number | 1417959149 |
|---|---|
| Provider Enumeration Date | 08/12/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6800706797 |
|---|---|
| Medicare Enrollment ID | O20030711000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417959149 | NPI | - | NPPES |
| 175986 | Other | MO | HEALTHLINK |
| 218453 | Other | MO | BLUE CROSS |
| 593915200 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Missouri) | Primary |
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