Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 345 S Barrett Ln., Nevada, Missouri |
Authorized Official Name and Position | Jason Anglin (CEO/AUTHORIZED OFFICIAL) |
Authorized Official Contact | 4174483626 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
800 S. Ash Street Nevada MO 64772-3223 Ph: (417) 667-3355 | 345 S Barrett Ln. Nevada MO 64772 Ph: (417) 448-2439 |
NPI Number | 1427385517 |
---|---|
Provider Enumeration Date | 11/10/2009 |
Last Update Date | 01/04/2023 |
Medicare PECOS PAC ID | 9830095280 |
---|---|
Medicare Enrollment ID | O20100309000788 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427385517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 190-43 (Missouri) | Primary |
Compass Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 W Austin Blvd, Nevada, MO 64772 Phone: 844-853-8937 | |
Nevada Medical Clinic L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 S Adams St, Nevada, MO 64772 Phone: 417-667-6015 Fax: 417-667-4234 | |
On My Own, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 428 E Highland Ave, Nevada, MO 64772 Phone: 417-667-7007 Fax: 417-667-6262 | |
Barnes Medical Consultants, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 S Ash St, Nevada, MO 64772 Phone: 417-667-3355 Fax: 417-448-3796 |