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1111 Wornall St Neosho MO 64850-2618 | |
(417) 782-6200 | |
(417) 782-6210 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1111 Wornall St, Neosho, Missouri |
Authorized Official Name and Position | Donald Michael Mcbride (CEO) |
Authorized Official Contact | 4174519450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 758 Neosho MO 64850-0758 Ph: (417) 451-9450 | 1111 Wornall St Neosho MO 64850-2618 Ph: (417) 782-6200 |
NPI Number | 1134828676 |
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Provider Enumeration Date | 02/23/2023 |
Last Update Date | 07/17/2023 |
Medicare PECOS PAC ID | 8123918257 |
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Medicare Enrollment ID | O20230816001211 |
Identifier | Type | State | Issuer |
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1134828676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Freeman Neosho Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 336 S Jefferson St, Neosho, MO 64850 Phone: 417-455-4200 | |
Free Market Physician Hospital Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4040 La Questa Dr, Neosho, MO 64850 Phone: 417-283-4953 | |