Oak Grove Medical Clinic | |
1900 S Broadway Oak Grove MO 64075-9020 | |
(816) 690-6566 | |
(816) 625-8276 |
Full Name | Oak Grove Medical Clinic |
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Speciality | Family Medicine |
Location | 1900 S Broadway, Oak Grove, Missouri |
Authorized Official Name and Position | Steven R Cleary (VP/CFO) |
Authorized Official Contact | 8169432819 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oak Grove Medical Clinic 801 Nw Saint Mary Dr Suite 230 Blue Springs MO 64014-2524 Ph: (816) 655-5792 | Oak Grove Medical Clinic 1900 S Broadway Oak Grove MO 64075-9020 Ph: (816) 690-6566 |
NPI Number | 1811293582 |
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Provider Enumeration Date | 01/28/2011 |
Last Update Date | 05/04/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811293582 | NPI | - | NPPES |
501269500 | Medicaid | MO | |
39532013 | Other | BCBS OF KANSAS CITY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34421 (Missouri) | Primary |