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1601 N Highway 7 Pleasant Hill MO 64080-1945 | |
(816) 540-2111 | |
(816) 540-6065 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1601 N Highway 7, Pleasant Hill, Missouri |
Authorized Official Name and Position | Janie Elliott (BUSINESS OFFICE MANAGER) |
Authorized Official Contact | 8168870315 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2800 E Rock Haven Rd Harrisonville MO 64701-4411 Ph: (816) 887-0315 | 1601 N Highway 7 Pleasant Hill MO 64080-1945 Ph: (816) 540-2111 |
NPI Number | 1538159058 |
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Provider Enumeration Date | 10/26/2005 |
Last Update Date | 11/01/2022 |
Medicare PECOS PAC ID | 7517853781 |
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Medicare Enrollment ID | O20040713000525 |
Identifier | Type | State | Issuer |
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1538159058 | NPI | - | NPPES |
598296101 | Medicaid | MO | |
22290019 | Other | BCBS GRP NUMBER |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |