| Perryville Family Care Clinic | |
|
212 Hospital Ln Suite 101 Perryville MO 63775-1276 | |
| (573) 547-7888 | |
| (573) 547-5481 |
| Full Name | Perryville Family Care Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 212 Hospital Ln, Perryville, Missouri |
| Authorized Official Name and Position | Stacey Reitzel (OFFICE MANAGER) |
| Authorized Official Contact | 5735477888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perryville Family Care Clinic 212 Hospital Ln Suite 101 Perryville MO 63775-1276 Ph: (573) 547-7888 | Perryville Family Care Clinic 212 Hospital Ln Suite 101 Perryville MO 63775-1276 Ph: (573) 547-7888 |
| NPI Number | 1467557488 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 10/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467557488 | NPI | - | NPPES |
| 597917103 | Medicaid | MO | |
| 503318800 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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