| Odessa Medical Group | |
|
316 West 40 Hwy Odessa MO 64076-9612 | |
| (816) 633-5774 | |
| (816) 633-5936 |
| Full Name | Odessa Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 316 West 40 Hwy, Odessa, Missouri |
| Authorized Official Name and Position | Darrel Box (CEO LRHC) |
| Authorized Official Contact | 6602596852 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Odessa Medical Group 316 West 40 Hwy Odessa MO 64076-9612 Ph: (816) 633-5774 | Odessa Medical Group 316 West 40 Hwy Odessa MO 64076-9612 Ph: (816) 633-5774 |
| NPI Number | 1003872185 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 01/06/2022 |
| Medicare PECOS PAC ID | 0941119150 |
|---|---|
| Medicare Enrollment ID | O20070912000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003872185 | NPI | - | NPPES |
| 595985805 | Medicaid | MO | |
| 540568508 | Medicaid | MO | |
| 010568509 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Bradley L Zink Do Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 408 N. 4th St, Suite B, Odessa, MO 64076 Phone: 816-230-8777 Fax: 816-230-8855 | |
Serc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 N 2nd St, Odessa, MO 64076 Phone: 816-230-3280 Fax: 816-230-3230 | |
Compass Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1278 W Us Highway 40, Odessa, MO 64076 Phone: 816-633-5921 | |
Odessa Eye Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 N 2nd St Ste C, Odessa, MO 64076 Phone: 816-230-5321 Fax: 816-565-2288 | |
Live Well Community Health Center Odessa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 S 3rd St, Odessa, MO 64076 Phone: 877-344-3572 Fax: 866-288-4492 |