Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 118 W Dallas St, Buffalo, Missouri |
Authorized Official Name and Position | William Roberts (CFO) |
Authorized Official Contact | 4178207363 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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118 W Dallas St Buffalo MO 65622-8669 Ph: (417) 820-7133 | 118 W Dallas St Buffalo MO 65622 Ph: (417) 345-6101 |
NPI Number | 1629103502 |
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Provider Enumeration Date | 02/22/2007 |
Last Update Date | 07/24/2023 |
Medicare PECOS PAC ID | 7416865845 |
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Medicare Enrollment ID | O20090603000136 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629103502 | NPI | - | NPPES |
595813908 | Medicaid | MO |
Community Clinic Of Buffalo Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1228 W Truman, Buffalo, MO 65622 Phone: 417-343-7214 | |