| Midamerica Orthopaedic And Spine Institute Llc | |
|
1701 N Elson St Kirksville MO 63501-1129 | |
| (660) 665-0950 | |
| (660) 665-0699 |
| Full Name | Midamerica Orthopaedic And Spine Institute Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1701 N Elson St, Kirksville, Missouri |
| Authorized Official Name and Position | John D Bailey (OWNER) |
| Authorized Official Contact | 6606650950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midamerica Orthopaedic And Spine Institute Llc 1701 N Elson St Kirksville MO 63501-1129 Ph: (660) 665-0950 | Midamerica Orthopaedic And Spine Institute Llc 1701 N Elson St Kirksville MO 63501-1129 Ph: (660) 665-0950 |
| NPI Number | 1831369107 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 09/29/2014 |
| Medicare PECOS PAC ID | 7719056563 |
|---|---|
| Medicare Enrollment ID | O20080520000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831369107 | NPI | - | NPPES |
| 244728507 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 110360 (Missouri) | Primary |
| Provider Name | John Bailey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063415354 PECOS PAC ID: 5991874745 Enrollment ID: I20080520000079 |
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