| King City Medical Clinic | |
|
305 Rhode Island King City MO 64463 | |
| (660) 535-4347 | |
| (660) 535-6240 |
| Full Name | King City Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 305 Rhode Island, King City, Missouri |
| Authorized Official Name and Position | Matt Younger (CEO) |
| Authorized Official Contact | 8162326818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| King City Medical Clinic 305 Rhode Island King City MO 64463 Ph: (660) 535-4347 | King City Medical Clinic 305 Rhode Island King City MO 64463 Ph: (660) 535-4347 |
| NPI Number | 1790806842 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 11/10/2021 |
| Medicare PECOS PAC ID | 7113835174 |
|---|---|
| Medicare Enrollment ID | O20080731000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790806842 | NPI | - | NPPES |
| 502111271 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
King City Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Vermont St, King City, MO 64463 Phone: 660-552-4054 |