Ozarks Healthcare Winona | |
9104 State Highway 19 Winona MO 65588-8389 | |
(573) 325-4237 | |
(573) 325-4996 |
Full Name | Ozarks Healthcare Winona |
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Speciality | Clinic/Center |
Location | 9104 State Highway 19, Winona, Missouri |
Authorized Official Name and Position | Barrylyn Ulmanis (PROVIDER ENROLLMENT COORDINATOR) |
Authorized Official Contact | 4172576792 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ozarks Healthcare Winona Po Box 28 West Plains MO 65775-0028 Ph: (573) 325-4237 | Ozarks Healthcare Winona 9104 State Highway 19 Winona MO 65588-8389 Ph: (573) 325-4237 |
NPI Number | 1558497917 |
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Provider Enumeration Date | 02/27/2007 |
Last Update Date | 11/13/2020 |
Medicare PECOS PAC ID | 3870491863 |
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Medicare Enrollment ID | O20080129000578 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558497917 | NPI | - | NPPES |
590492104 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 17447 (Missouri) | Primary |