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110 N Central Ave Pattonsburg MO 64670 | |
(660) 367-4304 | |
(660) 367-4350 |
Full Name | |
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Speciality | Clinic/Center |
Location | 110 N Central Ave, Pattonsburg, Missouri |
Authorized Official Name and Position | Joseph F Abrutz (CEO) |
Authorized Official Contact | 8166322101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1600 E Evergreen St Po Box 557 Cameron MO 64429-2400 Ph: (816) 649-3348 | 110 N Central Ave Pattonsburg MO 64670 Ph: (660) 367-4304 |
NPI Number | 1700890019 |
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Provider Enumeration Date | 07/29/2006 |
Last Update Date | 04/09/2008 |
Medicare PECOS PAC ID | 5092622001 |
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Medicare Enrollment ID | O20080129000516 |
Identifier | Type | State | Issuer |
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1700890019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |