| Audrain Com Clinic Montgomery | |
|
240 N. Pickering Street Montgomery City MO 63361-1941 | |
| (573) 564-2101 | |
| (573) 564-2130 |
| Full Name | Audrain Com Clinic Montgomery |
|---|---|
| Speciality | Clinic/Center |
| Location | 240 N. Pickering Street, Montgomery City, 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 |
|---|---|
| Audrain Com Clinic Montgomery 240 N. Pickering Street Montgomery City MO 63361-1941 Ph: (573) 564-2101 | Audrain Com Clinic Montgomery 240 N. Pickering Street Montgomery City MO 63361-1941 Ph: (573) 564-2101 |
| NPI Number | 1154912871 |
|---|---|
| Provider Enumeration Date | 01/27/2021 |
| Last Update Date | 06/23/2022 |
| Medicare PECOS PAC ID | 0446667299 |
|---|---|
| Medicare Enrollment ID | O20210324000968 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154912871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
East Central Missouri Behavioral Health Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1225 Aguilar Dr., Montgomery City, MO 63361 Phone: 573-582-1234 Fax: 573-582-1212 | |
Associated Medical Arts Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 504 N Sturgeon St, Montgomery City, MO 63361 Phone: 573-564-2990 Fax: 573-564-2963 | |
Healthy Choice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 E 1st St, Montgomery City, MO 63361 Phone: 573-564-3214 Fax: 573-564-3216 | |
Associated Medical Arts Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 N Sturgeon St, Montgomery City, MO 63361 Phone: 573-564-2990 Fax: 573-564-2963 |