Mosaic Family Care Stanberry | |
202 E Main St Stanberry MO 64489-1358 | |
(660) 783-2092 | |
Not Available |
Full Name | Mosaic Family Care Stanberry |
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Speciality | Clinic/Center |
Location | 202 E Main St, Stanberry, Missouri |
Authorized Official Name and Position | Dwight Carvell (DIRECTOR OF REIMBURSEMENT) |
Authorized Official Contact | 8162730437 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mosaic Family Care Stanberry 705 N College St Albany MO 64402-1433 Ph: (660) 726-3941 | Mosaic Family Care Stanberry 202 E Main St Stanberry MO 64489-1358 Ph: (660) 783-2092 |
NPI Number | 1750457149 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 09/16/2024 |
Medicare PECOS PAC ID | 5496641896 |
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Medicare Enrollment ID | O20091229000569 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750457149 | NPI | - | NPPES |
590158309 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Stanberry R-ii School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 N Park St, Stanberry, MO 64489 Phone: 816-271-8262 | |
Pine View Manor, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 N Pineview St, Stanberry, MO 64489 Phone: 660-783-2118 Fax: 660-783-2691 | |
Tri-county Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 N Park St, Stanberry, MO 64489 Phone: 660-783-2707 Fax: 660-783-2775 |