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332 S Main Ave Republic MO 65738-1861 | |
| (417) 732-5050 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 332 S Main Ave, Republic, Missouri |
| Authorized Official Name and Position | Scott Reynolds (VO-FINANCE) |
| Authorized Official Contact | 4178202818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
332 S Main Ave Republic MO 65738-1861 Ph: (417) 732-5050 | 332 S Main Ave Republic MO 65738-1861 Ph: (417) 732-5050 |
| NPI Number | 1558709287 |
|---|---|
| Provider Enumeration Date | 06/04/2013 |
| Last Update Date | 06/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558709287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Complete Care Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1173 E Hines St, Republic, MO 65738 Phone: 417-735-0055 | |
Drew Consulting Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 S Conroy Ave, Republic, MO 65738 Phone: 417-425-7040 |