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2016 S Main St Maryville MO 64468-2655 | |
(660) 562-2525 | |
(660) 526-4303 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2016 S Main St, Maryville, 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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2016 S Main St Maryville MO 64468-2655 Ph: (660) 562-2525 | 2016 S Main St Maryville MO 64468-2655 Ph: (660) 562-2525 |
NPI Number | 1821562265 |
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Provider Enumeration Date | 01/18/2019 |
Last Update Date | 03/01/2019 |
Medicare PECOS PAC ID | 3678813896 |
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Medicare Enrollment ID | O20190416000538 |
Identifier | Type | State | Issuer |
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1821562265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Continuum Family Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2336 S Main St, Maryville, MO 64468 Phone: 660-220-2123 | |