| |
120 Hospital Dr Ste 350 Lebanon MO 65536-9253 | |
(417) 533-6746 | |
(417) 533-6740 |
Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 120 Hospital Dr Ste 350, Lebanon, Missouri |
Authorized Official Name and Position | William Roberts (VICE PRESIDENT FINANCE) |
Authorized Official Contact | 4178207363 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1570 W Battlefield St Ste 110 Springfield MO 65807-4163 Ph: (417) 820-7133 | 120 Hospital Dr Ste 350 Lebanon MO 65536-9253 Ph: (417) 533-6746 |
NPI Number | 1770612590 |
---|---|
Provider Enumeration Date | 03/05/2007 |
Last Update Date | 10/14/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770612590 | NPI | - | NPPES |
597785609 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |
363LF0000X | Nurse Practitioner - Family | 123516 (Missouri) | Secondary |
Philip W Caster Md And John P Caster Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 S Madison Ave, Lebanon, MO 65536 Phone: 417-532-9161 Fax: 417-532-8360 | |
Family Health Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 Hospital Dr, Lebanon, MO 65536 Phone: 417-532-7850 Fax: 417-532-2451 | |
Advocates For A Healthy Community, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Hoover St, Lebanon, MO 65536 Phone: 417-334-8337 Fax: 417-532-2067 | |
Advocates For A Healthy Community, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2020 Evergreen Pkwy, Lebanon, MO 65536 Phone: 417-334-8337 Fax: 417-832-8275 |