| Pcmh Clinic | |
|
425 N Galloway Rd Vandalia MO 63382-1259 | |
| (573) 594-2111 | |
| Not Available |
| Full Name | Pcmh Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 425 N Galloway Rd, Vandalia, 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 2305 Georgia St Louisiana MO 63353-2559 Ph: (573) 754-5531 | Pcmh Clinic 425 N Galloway Rd Vandalia MO 63382-1259 Ph: (573) 594-2111 |
| NPI Number | 1891201331 |
|---|---|
| Provider Enumeration Date | 12/20/2017 |
| Last Update Date | 12/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891201331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Pcmh Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 N Galloway Rd, Vandalia, MO 63382 Phone: 573-754-5531 |