| North Harrison Medical Clinic | |
|
16027 Locust Street Eagleville MO 64442 | |
| (660) 867-5111 | |
| (660) 867-3111 |
| Full Name | North Harrison Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 16027 Locust Street, Eagleville, Missouri |
| Authorized Official Name and Position | Christina Gillespie (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6604252211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Harrison Medical Clinic 16027 Locust Street Eagleville MO 64442 Ph: (660) 867-5111 | North Harrison Medical Clinic 16027 Locust Street Eagleville MO 64442 Ph: (660) 867-5111 |
| NPI Number | 1114348083 |
|---|---|
| Provider Enumeration Date | 12/19/2013 |
| Last Update Date | 03/18/2021 |
| Medicare PECOS PAC ID | 4587630926 |
|---|---|
| Medicare Enrollment ID | O20140826000783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114348083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Eagleville Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12050 12th St, Eagleville, MO 64442 Phone: 816-632-2101 |