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1223 E Main St Perry MO 63462-1410 | |
(573) 565-2213 | |
(573) 565-3517 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1223 E Main St, Perry, Missouri |
Authorized Official Name and Position | Amy L Obrien (CEO) |
Authorized Official Contact | 5735825000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1223 E Main St Perry MO 63462-1410 Ph: (573) 565-2213 | 1223 E Main St Perry MO 63462-1410 Ph: (573) 565-2213 |
NPI Number | 1053902775 |
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Provider Enumeration Date | 01/27/2021 |
Last Update Date | 06/23/2022 |
Identifier | Type | State | Issuer |
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1053902775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |