| |
1307 Porter Wagoner Blvd West Plains MO 65775-1828 | |
(417) 255-8645 | |
(417) 255-8649 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 1307 Porter Wagoner Blvd, West Plains, Missouri |
Authorized Official Name and Position | Tyler Thompson (MANAGER OF MANAGED CARE) |
Authorized Official Contact | 4172576734 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1307 Porter Wagoner Blvd West Plains MO 65775-1828 Ph: (417) 255-8645 | 1307 Porter Wagoner Blvd West Plains MO 65775-1828 Ph: (417) 255-8645 |
NPI Number | 1285801696 |
---|---|
Provider Enumeration Date | 05/14/2008 |
Last Update Date | 08/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285801696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Burton Creek Rural Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-2111 Fax: 417-256-4858 | |
Midwest Family Medicine Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1598 Imperial Ctr, Suite 2009, West Plains, MO 65775 Phone: 417-256-6866 Fax: 417-256-4263 | |
Through Him Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1307 Porter Wagoner Blvd, West Plains, MO 65775 Phone: 417-255-8645 Fax: 417-255-8649 | |
Southern Missouri Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1625 Gibson St, West Plains, MO 65775 Phone: 417-256-3717 Fax: 417-256-3738 |