| Nevada Regional Medical Center Sheldon Family Medical Clinic | |
|
810 W. Main Street Sheldon MO 64784-9223 | |
| (417) 884-5006 | |
| (417) 884-2801 |
| Full Name | Nevada Regional Medical Center Sheldon Family Medical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 810 W. Main Street, Sheldon, Missouri |
| Authorized Official Name and Position | Greg L. Shaw (CFO) |
| Authorized Official Contact | 4174483618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevada Regional Medical Center Sheldon Family Medical Clinic 800 S. Ash Street Nevada MO 64772-3223 Ph: (417) 667-3355 | Nevada Regional Medical Center Sheldon Family Medical Clinic 810 W. Main Street Sheldon MO 64784-9223 Ph: (417) 884-5006 |
| NPI Number | 1245330265 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 08/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245330265 | NPI | - | NPPES |
| 593872302 | Medicaid | MO | |
| 28017018 | Other | MO | BLUE CROSS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 19043 (Missouri) | Primary |