| Mercy Clinic East Communities | |
|
125 N Old Highway 66 Bourbon MO 65441-6298 | |
| (573) 679-2006 | |
| Not Available |
| Full Name | Mercy Clinic East Communities |
|---|---|
| Speciality | Clinic/Center |
| Location | 125 N Old Highway 66, Bourbon, Missouri |
| Authorized Official Name and Position | Jeffrey Peter Ciaramita (COMMUNITY PRESIDENT - CLINIC) |
| Authorized Official Contact | 3145251785 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic East Communities 125 N Old Highway 66 Bourbon MO 65441-6298 Ph: (573) 679-2006 | Mercy Clinic East Communities 125 N Old Highway 66 Bourbon MO 65441-6298 Ph: (573) 679-2006 |
| NPI Number | 1235493776 |
|---|---|
| Provider Enumeration Date | 06/29/2012 |
| Last Update Date | 02/24/2021 |
| Medicare PECOS PAC ID | 7214827922 |
|---|---|
| Medicare Enrollment ID | O20121010000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235493776 | NPI | - | NPPES |
| 596407106 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Patients First Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N. Old Highway 66, Bourbon, MO 65541 Phone: 573-679-2006 Fax: 573-679-2003 | |
Your Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 College St, Bourbon, MO 65441 Phone: 573-426-2407 Fax: 573-426-2407 | |
Bourbon Medical Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 College St, Bourbon, MO 65441 Phone: 573-732-5004 | |
Bourbon Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 240 College St, Bourbon, MO 65441 Phone: 573-732-5140 Fax: 314-996-3610 |