| Ozarks Healthcare Alton | |
|
100 Medical Drive Alton MO 65606 | |
| (417) 778-7227 | |
| (417) 778-7225 |
| Full Name | Ozarks Healthcare Alton |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Medical Drive, Alton, Missouri |
| Authorized Official Name and Position | Thomas W Keller (PRESIDENT AND CEO) |
| Authorized Official Contact | 4172569111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozarks Healthcare Alton Po Box 1100 West Plains MO 65775-1100 Ph: () - | Ozarks Healthcare Alton 100 Medical Drive Alton MO 65606 Ph: (417) 778-7227 |
| NPI Number | 1588791842 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 11/12/2020 |
| Medicare PECOS PAC ID | 3870491863 |
|---|---|
| Medicare Enrollment ID | O20080130000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588791842 | NPI | - | NPPES |
| 593965304 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 17447 (Missouri) | Primary |
Shepherd's View Assisted Living Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Shepherds Lane, Alton, MO 65606 Phone: 417-778-7959 Fax: 417-778-1849 |