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103 Dollie Ln Ste 1 Van Buren MO 63965-7266 | |
(573) 850-4110 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 103 Dollie Ln Ste 1, Van Buren, Missouri |
Authorized Official Name and Position | Austin Tinsley (OWNER) |
Authorized Official Contact | 5736865510 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2725 N Westwood Blvd Poplar Bluff MO 63901-2346 Ph: (573) 686-5510 | 103 Dollie Ln Ste 1 Van Buren MO 63965-7266 Ph: (573) 850-4110 |
NPI Number | 1700661188 |
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Provider Enumeration Date | 08/25/2023 |
Last Update Date | 10/20/2023 |
Identifier | Type | State | Issuer |
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1700661188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Eagle Care Solutions, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 173 Carter 301a, Van Buren, MO 63965 Phone: 618-570-1505 | |