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10500 State Route T Savannah MO 64485-2456 | |
(816) 324-3126 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 10500 State Route T, Savannah, 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) 307-4893 | 10500 State Route T Savannah MO 64485-2456 Ph: (816) 324-3126 |
NPI Number | 1912505041 |
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Provider Enumeration Date | 10/12/2020 |
Last Update Date | 11/10/2021 |
Identifier | Type | State | Issuer |
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1912505041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |