Audrain Comm Clinic Auxvasse | |
201 S. Main Street Auxvasse MO 65231-1624 | |
(573) 386-5959 | |
(573) 386-5995 |
Full Name | Audrain Comm Clinic Auxvasse |
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Speciality | Clinic/Center |
Location | 201 S. Main Street, Auxvasse, Missouri |
Authorized Official Name and Position | Amy L Obrien (CEO) |
Authorized Official Contact | 5735825000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Audrain Comm Clinic Auxvasse 201 S. Main Street Auxvasse MO 65231-1624 Ph: (573) 386-5959 | Audrain Comm Clinic Auxvasse 201 S. Main Street Auxvasse MO 65231-1624 Ph: (573) 386-5959 |
NPI Number | 1184209538 |
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Provider Enumeration Date | 03/16/2021 |
Last Update Date | 06/23/2022 |
Medicare PECOS PAC ID | 0446667299 |
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Medicare Enrollment ID | O20210426001101 |
Identifier | Type | State | Issuer |
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1184209538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Family Healthcare Of Auxvasse Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 S Main St, Auxvasse, MO 65231 Phone: 573-386-5959 Fax: 573-386-5995 |