| Nevada Regional Medical Center Rich Hill Family Medical Clinic | |
|
320 N. 14th Street Rich Hill MO 64779-2145 | |
| (417) 395-2150 | |
| (417) 395-2153 |
| Full Name | Nevada Regional Medical Center Rich Hill Family Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 320 N. 14th Street, Rich Hill, 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 |
|---|---|
| Nevada Regional Medical Center Rich Hill Family Medical Clinic 800 S. Ash Street Nevada MO 64772-3223 Ph: (417) 667-3355 | Nevada Regional Medical Center Rich Hill Family Medical Clinic 320 N. 14th Street Rich Hill MO 64779-2145 Ph: (417) 395-2150 |
| NPI Number | 1417049511 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 12/19/2022 |
| Medicare PECOS PAC ID | 9830095280 |
|---|---|
| Medicare Enrollment ID | O20071204000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417049511 | NPI | - | NPPES |
| 21902019 | Other | MO | BLUE CROSS PROVIDER NUMBE |
| 597677509 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 19043 (Missouri) | Primary |
Family Care Clinic Rich Hill Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 N 14th St, Rich Hill, MO 64779 Phone: 660-200-7000 |