| |
901 S National Ave Springfield MO 65897-0027 | |
(417) 836-5461 | |
(417) 836-6101 |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 901 S National Ave, Springfield, Missouri |
Authorized Official Name and Position | James Thomas Penkalski (DIRECTOR) |
Authorized Official Contact | 4178365461 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
901 S National Ave Springfield MO 65897-0027 Ph: (417) 836-5461 | 901 S National Ave Springfield MO 65897-0027 Ph: (417) 836-5461 |
NPI Number | 1649341272 |
---|---|
Provider Enumeration Date | 11/13/2006 |
Last Update Date | 04/01/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649341272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
James M. Carmichael, Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3108 S Fremont Ave, Springfield, MO 65804 Phone: 417-886-4910 Fax: 417-886-4910 | |
Mercy Clinic Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 Fax: 417-820-2100 | |