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1515 Hazel St Suite 101 Carthage MO 64836-2850 | |
(417) 358-0188 | |
(417) 358-4612 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1515 Hazel St, Carthage, Missouri |
Authorized Official Name and Position | Robert Y Copeland (CEO) |
Authorized Official Contact | 4173588121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1515 Hazel St Suite 101 Carthage MO 64836-2850 Ph: (417) 358-0188 | 1515 Hazel St Suite 101 Carthage MO 64836-2850 Ph: (417) 358-0188 |
NPI Number | 1215221809 |
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Provider Enumeration Date | 06/01/2011 |
Last Update Date | 06/01/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215221809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Family Medical Center Of Carthage, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1632 Missouri Ave, Carthage, MO 64836 Phone: 417-773-6154 | |
Medstaff Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1129 W Fairview Ave, Carthage, MO 64836 Phone: 417-358-8131 Fax: 404-698-2614 |