| Callaway Rural Health Clinic | |
|
850 N Hospital Dr Ste F Fulton MO 65251-2535 | |
| (573) 642-5338 | |
| (573) 642-9224 |
| Full Name | Callaway Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 850 N Hospital Dr Ste F, Fulton, Missouri |
| Authorized Official Name and Position | Jeffrey A Stone (INTERIM CEO) |
| Authorized Official Contact | 5736423376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Callaway Rural Health Clinic 10 S Hospital Dr Fulton MO 65251-2510 Ph: (573) 642-3376 | Callaway Rural Health Clinic 850 N Hospital Dr Ste F Fulton MO 65251-2535 Ph: (573) 642-5338 |
| NPI Number | 1689287955 |
|---|---|
| Provider Enumeration Date | 08/26/2020 |
| Last Update Date | 06/23/2022 |
| Medicare PECOS PAC ID | 5496163065 |
|---|---|
| Medicare Enrollment ID | O20210420001722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689287955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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