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114 E South Hills Dr Maryville MO 64468-2659 | |
(660) 562-2525 | |
(660) 562-4303 |
Full Name | |
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Speciality | Clinic/Center |
Location | 114 E South Hills Dr, Maryville, Missouri |
Authorized Official Name and Position | Dwight R Carvell (DIRECTOR OF REIMBUREMENT) |
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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114 E South Hills Dr Maryville MO 64468-2659 Ph: (660) 562-2525 | 114 E South Hills Dr Maryville MO 64468-2659 Ph: (660) 562-2525 |
NPI Number | 1598239790 |
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Provider Enumeration Date | 01/22/2019 |
Last Update Date | 06/10/2019 |
Medicare PECOS PAC ID | 3678813896 |
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Medicare Enrollment ID | O20190402000695 |
Identifier | Type | State | Issuer |
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1598239790 | NPI | - | NPPES |
Continuum Family Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2336 S Main St, Maryville, MO 64468 Phone: 660-220-2123 | |