| Pine View Manor, Inc. | |
|
307 N Pineview St Stanberry MO 64489-1509 | |
| (660) 783-2118 | |
| (660) 783-2691 |
| Full Name | Pine View Manor, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 307 N Pineview St, Stanberry, Missouri |
| Authorized Official Name and Position | Jerry B Doerhoff (ADMINISTRATOR) |
| Authorized Official Contact | 6607832118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine View Manor, Inc. 307 N Pineview St Stanberry MO 64489-1509 Ph: (660) 783-2118 | Pine View Manor, Inc. 307 N Pineview St Stanberry MO 64489-1509 Ph: (660) 783-2118 |
| NPI Number | 1386992584 |
|---|---|
| Provider Enumeration Date | 08/17/2012 |
| Last Update Date | 08/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386992584 | NPI | - | NPPES |
| 101493302 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 031426 (Missouri) | Primary |
Stanberry R-ii School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 N Park St, Stanberry, MO 64489 Phone: 816-271-8262 | |
Tri-county Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 N Park St, Stanberry, MO 64489 Phone: 660-783-2707 Fax: 660-783-2775 | |
Mosaic Family Care Stanberry Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 E Main St, Stanberry, MO 64489 Phone: 660-783-2092 |