| Mercy Clinic Family Medicine-eminence | |
|
Highway 19 South Eminence MO 65466 | |
| (573) 226-5401 | |
| (573) 226-3011 |
| Full Name | Mercy Clinic Family Medicine-eminence |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | Highway 19 South, Eminence, Missouri |
| Authorized Official Name and Position | Stuart G. Stangeland (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4178206556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic Family Medicine-eminence Po Box 505164 Saint Louis MO 63150-5164 Ph: (417) 820-2000 | Mercy Clinic Family Medicine-eminence Highway 19 South Eminence MO 65466 Ph: (573) 226-5401 |
| NPI Number | 1396871745 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 04/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396871745 | NPI | - | NPPES |
| 593786809 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R7838 (Missouri) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |
| 363A00000X | Physician Assistant | 112033 (Missouri) | Secondary |
Mercy Clinic Eminence Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Highway 19 South, Eminence, MO 65466 Phone: 573-226-5401 | |
Eminence Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Highway West, Eminence, MO 65466 Phone: 573-226-5216 | |
Missouri Highlands Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17959 Main Street, Eminence, MO 65466 Phone: 573-226-5505 Fax: 573-226-5584 |