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149 Rogers Ave Summersville MO 65571 | |
| (417) 932-4119 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 149 Rogers Ave, Summersville, 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 |
|---|---|
149 Rogers Ave Summersville MO 65571 Ph: (417) 932-4119 | 149 Rogers Ave Summersville MO 65571 Ph: (417) 932-4119 |
| NPI Number | 1912345117 |
|---|---|
| Provider Enumeration Date | 06/10/2013 |
| Last Update Date | 06/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912345117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Certified On-site Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 2nd St, Summersville, MO 65571 Phone: 417-932-1130 Fax: 417-932-1127 | |