| |
1800 Community Clinton MO 64735-8804 | |
(660) 885-8131 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1800 Community, Clinton, Missouri |
Authorized Official Name and Position | Teresa Porter (CREDENTIALING MANAGER) |
Authorized Official Contact | 6608908156 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1800 Community Clinton MO 64735-8804 Ph: () - | 1800 Community Clinton MO 64735-8804 Ph: (660) 885-8131 |
NPI Number | 1245669266 |
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Provider Enumeration Date | 11/12/2013 |
Last Update Date | 10/28/2020 |
Medicare PECOS PAC ID | 1951206754 |
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Medicare Enrollment ID | O20131213001599 |
Identifier | Type | State | Issuer |
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1245669266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Compass Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Community, Clinton, MO 64735 Phone: 660-890-8186 | |
Golden Valley Memorial Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 E Gaines Dr, Clinton, MO 64735 Phone: 660-885-5511 |