Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | #1 Hal's Plaza, Piedmont, Missouri |
Authorized Official Name and Position | Paula Lalor (DIRECTOR/DELEGATED OFFICIAL) |
Authorized Official Contact | 6292153953 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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#1 Hal's Plaza Piedmont MO 63957 Ph: (573) 223-4800 | #1 Hal's Plaza Piedmont MO 63957 Ph: (573) 223-4800 |
NPI Number | 1972549053 |
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Provider Enumeration Date | 06/20/2006 |
Last Update Date | 04/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972549053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Wayne Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr 4 Box 4515, Piedmont, MO 63957 Phone: 573-223-4233 Fax: 573-223-2136 | |
Wayne Medical Center, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr 4 Box 4515, Piedmont, MO 63957 Phone: 573-223-4233 Fax: 573-223-2136 | |