| Mercy Clinic Family Medicine-mountain Grove | |
|
120 W 16th St Mountain Grove MO 65711-1039 | |
| (417) 926-6111 | |
| Not Available |
| Full Name | Mercy Clinic Family Medicine-mountain Grove |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 120 W 16th St, Mountain Grove, Missouri |
| Authorized Official Name and Position | Scott Reynolds (VP-FINANCE) |
| Authorized Official Contact | 4178202818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic Family Medicine-mountain Grove 120 W 16th St Mountain Grove MO 65711-1039 Ph: (417) 926-6111 | Mercy Clinic Family Medicine-mountain Grove 120 W 16th St Mountain Grove MO 65711-1039 Ph: (417) 926-6111 |
| NPI Number | 1639517832 |
|---|---|
| Provider Enumeration Date | 06/10/2013 |
| Last Update Date | 06/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639517832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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