| Missouri Highlands Clinical Lab | |
|
61 Highway Y Ellington MO 63638-7802 | |
| (573) 663-2525 | |
| (573) 663-7821 |
| Full Name | Missouri Highlands Clinical Lab |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 61 Highway Y, Ellington, Missouri |
| Authorized Official Name and Position | Karen R White (CEO) |
| Authorized Official Contact | 5736632313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Highlands Clinical Lab 110 S 2nd St Ellington MO 63638-9400 Ph: (573) 663-2313 | Missouri Highlands Clinical Lab 61 Highway Y Ellington MO 63638-7802 Ph: (573) 663-2525 |
| NPI Number | 1326567108 |
|---|---|
| Provider Enumeration Date | 09/13/2017 |
| Last Update Date | 06/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326567108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
Missouri Highlands Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 2nd St, Ellington, MO 63638 Phone: 573-663-2313 Fax: 573-663-2441 | |
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Southeasthealth Family Medicine Of Ellington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 E Walnut St, Ellington, MO 63638 Phone: 573-663-2571 Fax: 573-663-2779 | |
Missouri Highlands Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 61 Highway Y, Ellington, MO 63638 Phone: 573-663-2525 Fax: 573-663-7821 | |
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