| Pike Medical Clinic, Inc | |
|
211 S 3rd St Louisiana MO 63353-2000 | |
| (573) 754-5555 | |
| (573) 754-4077 |
| Full Name | Pike Medical Clinic, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 211 S 3rd St, Louisiana, Missouri |
| Authorized Official Name and Position | Jan F Onik (PHYSICIAN) |
| Authorized Official Contact | 5737545555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pike Medical Clinic, Inc 211 S 3rd St Louisiana MO 63353-2000 Ph: (573) 754-5555 | Pike Medical Clinic, Inc 211 S 3rd St Louisiana MO 63353-2000 Ph: (573) 754-5555 |
| NPI Number | 1740280767 |
|---|---|
| Provider Enumeration Date | 08/01/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740280767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R5C36 (Missouri) | Primary |
Pcmh Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2305 Georgia St, Louisiana, MO 63353 Phone: 573-754-4584 Fax: 573-754-5280 | |
Pcmh Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2305 Georgia St, Louisiana, MO 63353 Phone: 573-754-4584 Fax: 573-754-5280 | |
Pike Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 S 3rd St, Louisiana, MO 63353 Phone: 573-754-5555 Fax: 573-754-4077 |