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502 S Olive St Gallatin MO 64640-9470 | |
(816) 271-8262 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 502 S Olive St, Gallatin, Missouri |
Authorized Official Name and Position | Matt Younger (CEO) |
Authorized Official Contact | 8162326818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2303 Village Dr Saint Joseph MO 64506-4954 Ph: (816) 271-8262 | 502 S Olive St Gallatin MO 64640-9470 Ph: (816) 271-8262 |
NPI Number | 1740740471 |
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Provider Enumeration Date | 03/20/2019 |
Last Update Date | 11/10/2021 |
Identifier | Type | State | Issuer |
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1740740471 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Access Ii Independence Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Industrial Pkwy, Gallatin, MO 64640 Phone: 660-663-2423 Fax: 660-663-2517 | |