| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 332 S Main Ave, Republic, Missouri |
| Authorized Official Name and Position | Stuart Stangeland (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 4178203873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
645 Maryville Centre Dr Fl 3 Saint Louis MO 63141-5855 Ph: (417) 820-7133 | 332 S Main Ave Republic MO 65738 Ph: (417) 732-5050 |
| NPI Number | 1962534727 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 06/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962534727 | NPI | - | NPPES |
| 596051300 | Medicaid | MO |
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 |