| Midtown Family Medical Center Llc | |
|
24 N Sprigg St Cape Girardeau MO 63701-5526 | |
| (573) 332-7992 | |
| (573) 332-7998 |
| Full Name | Midtown Family Medical Center Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 24 N Sprigg St, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Emily Gee (BILLING MANAGER) |
| Authorized Official Contact | 5733592930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Family Medical Center Llc Po Box 1933 Cape Girardeau MO 63702-1933 Ph: (573) 332-7992 | Midtown Family Medical Center Llc 24 N Sprigg St Cape Girardeau MO 63701-5526 Ph: (573) 332-7992 |
| NPI Number | 1922122076 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 12/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922122076 | NPI | - | NPPES |
| 595175001 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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