| Pcmh Clinic | |
|
1015 W Adams St Bowling Green MO 63334-1974 | |
| (573) 324-5300 | |
| (573) 324-6059 |
| Full Name | Pcmh Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1015 W Adams St, Bowling Green, Missouri |
| Authorized Official Name and Position | Justin Selle (CEO) |
| Authorized Official Contact | 5737545531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pcmh Clinic 1015 W Adams St Bowling Green MO 63334-1974 Ph: (573) 324-5300 | Pcmh Clinic 1015 W Adams St Bowling Green MO 63334-1974 Ph: (573) 324-5300 |
| NPI Number | 1992159438 |
|---|---|
| Provider Enumeration Date | 04/21/2016 |
| Last Update Date | 04/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992159438 | NPI | - | NPPES |
| 000012300 | Other | MO | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Pcmh Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1015 W Adams St, Bowling Green, MO 63334 Phone: 573-324-5300 Fax: 573-324-6059 | |
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