| Mercy Clinic Family Medicine-shell Knob | |
|
22361 Oak Ridge Dr Shell Knob MO 65747-7822 | |
| (417) 858-3731 | |
| (417) 858-2562 |
| Full Name | Mercy Clinic Family Medicine-shell Knob |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 22361 Oak Ridge Dr, Shell Knob, Missouri |
| Authorized Official Name and Position | Stuart G. Stangeland (SENIOR VICE PRESIDENT, COO) |
| Authorized Official Contact | 4178206556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic Family Medicine-shell Knob Po Box 505164 Saint Louis MO 63150-5164 Ph: (417) 820-2000 | Mercy Clinic Family Medicine-shell Knob 22361 Oak Ridge Dr Shell Knob MO 65747-7822 Ph: (417) 858-3731 |
| NPI Number | 1104137876 |
|---|---|
| Provider Enumeration Date | 06/28/2010 |
| Last Update Date | 04/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104137876 | NPI | - | NPPES |
| 1104137876 | Other | MO | RURAL HEALTH MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |
Cox Health Center Shell Knob Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25376 State Hwy 39, Suite 301, Shell Knob, MO 65747 Phone: 417-269-2470 Fax: 417-858-6910 | |
Coxhealth Center Shell Knob Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25376 State Highway 39, Suite 301, Shell Knob, MO 65747 Phone: 417-236-2680 Fax: 417-236-2683 | |
Shell Knob Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25376 State Hwy 39, Ste 301, Shell Knob, MO 65747 Phone: 417-269-2470 Fax: 417-858-6910 | |
Shell Knob Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Hwy 39 & Yy, Shell Knob, MO 65747 Phone: 417-269-2470 Fax: 417-858-6910 |