<unavail> in Mountain Grove, MO - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Mountain Grove, Missouri. The current practice location for is 500 East 19th Street, Suite A, Mountain Grove, Missouri. For appointments, you can reach them via phone at (417) 926-6563. The mailing address for is Po Box 1100, West Plains, Missouri and phone number is (417) 256-9111.

is licensed to practice in Missouri (license number 17447). The clinic also participates in the medicare program and its NPI number is 1376679423. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (417) 926-6563.

Contact Information


	500 East 19th Street Suite A Mountain Grove MO 65711
	(417) 926-6563
	(417) 926-5820

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	500 East 19th Street, Mountain Grove, Missouri
Authorized Official Name and Position	Thomas W. Keller (PRESIDENT AND CEO)
Authorized Official Contact	4172569111
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 1100 West Plains MO 65775-1100 Ph: (417) 256-9111	500 East 19th Street Suite A Mountain Grove MO 65711 Ph: (417) 926-6563

NPI Details:

NPI Number	1376679423
Provider Enumeration Date	02/25/2007
Last Update Date	11/13/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	3870491863
Medicare Enrollment ID	O20040721000658

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376679423	NPI	-	NPPES
599301009	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	17447 (Missouri)	Primary

Reviews and Comments

Clinic/Center in Mountain Grove, MO

Mountain Grove Medical And Laser Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 N Busch Ave, Mountain Grove, MO 65711 Phone: 417-926-6643 Fax: 417-926-6317
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 W 3rd St Ste 3, Mountain Grove, MO 65711 Phone: 417-926-3743 Fax: 417-926-7625
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1905 West 19th Street, Mountain Grove, MO 65711 Phone: 417-926-1770 Fax: 417-926-1785
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1905 West 19th Street, Mountain Grove, MO 65711 Phone: 417-926-1770 Fax: 417-926-1785
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 W 16th St, Mountain Grove, MO 65711 Phone: 417-926-6111 Fax: 417-926-6115
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1604 C. North Main Street, Mountain Grove, MO 65711 Phone: 417-926-1713 Fax: 417-926-1209

- Medicare Primary Care in Mountain Grove, MO