Mercy Clinic East Communities | |
1326 S Service Rd W Ste 20 Sullivan MO 63080-2306 | |
(573) 468-3555 | |
Not Available |
Full Name | Mercy Clinic East Communities |
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Speciality | Clinic/Center |
Location | 1326 S Service Rd W Ste 20, Sullivan, Missouri |
Authorized Official Name and Position | Jeffrey Peter Ciaramita (COMMUNITY PRESIDENT - CLINC) |
Authorized Official Contact | 3145251785 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mercy Clinic East Communities 1326 S Service Rd W Ste 20 Sullivan MO 63080-2306 Ph: (573) 468-3555 | Mercy Clinic East Communities 1326 S Service Rd W Ste 20 Sullivan MO 63080-2306 Ph: (573) 468-3555 |
NPI Number | 1467716928 |
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Provider Enumeration Date | 06/29/2012 |
Last Update Date | 02/24/2021 |
Medicare PECOS PAC ID | 7214827922 |
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Medicare Enrollment ID | O20120914000472 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467716928 | NPI | - | NPPES |
591057302 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sullivan Medical Office Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-486-4186 Fax: 314-996-3610 | |
Premier Health Center, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Progress Pkwy, Sullivan, MO 63080 Phone: 573-468-6011 Fax: 573-468-7868 | |
Patients First Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Progress Pkwy, Sullivan, MO 63080 Phone: 573-468-3555 Fax: 573-468-3554 | |
Patients First Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Cumberland Way Ste A, Sullivan, MO 63080 Phone: 573-468-2006 Fax: 573-468-2026 | |
Compass Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Progress Pkwy, Sullivan, MO 63080 Phone: 660-890-8186 | |
Sullivan Medical Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000 |