| Pike Medical Clinic | |
|
211 S 3rd St Louisiana MO 63353-2000 | |
| (573) 754-5555 | |
| (573) 754-4077 |
| Full Name | Pike Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 211 S 3rd St, Louisiana, Missouri |
| Authorized Official Name and Position | Roger J Dix (CFO) |
| Authorized Official Contact | 5732481300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pike Medical Clinic 6000 Hospital Dr Hannibal MO 63401-6887 Ph: (573) 248-1300 | Pike Medical Clinic 211 S 3rd St Louisiana MO 63353-2000 Ph: (573) 754-5555 |
| NPI Number | 1558389189 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 02/03/2015 |
| Medicare PECOS PAC ID | 1254236300 |
|---|---|
| Medicare Enrollment ID | O20141202002091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558389189 | NPI | - | NPPES |
| 598051407 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | 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, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 S 3rd St, Louisiana, MO 63353 Phone: 573-754-5555 Fax: 573-754-4077 |