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3114 Medical Park Dr Carthage MO 64836-1211 | |
(417) 358-0188 | |
(417) 358-4612 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3114 Medical Park Dr, Carthage, Missouri |
Authorized Official Name and Position | Sherry Lynn Clouse Day (VP FINANCE MERCY CAH) |
Authorized Official Contact | 4178208439 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3114 Medical Park Dr Carthage MO 64836-1211 Ph: (417) 358-0188 | 3114 Medical Park Dr Carthage MO 64836-1211 Ph: (417) 358-0188 |
NPI Number | 1992074959 |
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Provider Enumeration Date | 12/21/2011 |
Last Update Date | 04/24/2024 |
Medicare PECOS PAC ID | 8426225251 |
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Medicare Enrollment ID | O20121009000229 |
Identifier | Type | State | Issuer |
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1992074959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Family Medical Center Of Carthage, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1632 Missouri Ave, Carthage, MO 64836 Phone: 417-773-6154 | |
Medstaff Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1129 W Fairview Ave, Carthage, MO 64836 Phone: 417-358-8131 Fax: 404-698-2614 |