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301 E Price Ave Ste A Savannah MO 64485-2482 | |
(816) 432-0006 | |
(816) 432-0008 |
Full Name | |
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Speciality | Clinic/Center |
Location | 301 E Price Ave Ste A, Savannah, Missouri |
Authorized Official Name and Position | Dwight R Carvell (DIRECTOR OF REIMBURSEMENT) |
Authorized Official Contact | 8162730473 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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301 E Price Ave Ste A Savannah MO 64485-2482 Ph: (816) 432-0006 | 301 E Price Ave Ste A Savannah MO 64485-2482 Ph: (816) 432-0006 |
NPI Number | 1093289431 |
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Provider Enumeration Date | 01/18/2019 |
Last Update Date | 06/10/2019 |
Medicare PECOS PAC ID | 3678813896 |
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Medicare Enrollment ID | O20190329001162 |
Identifier | Type | State | Issuer |
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1093289431 | NPI | - | NPPES |