| Portageville Family Clinic | |
|
314 E Main St Portageville MO 63873-1616 | |
| (573) 379-5929 | |
| (573) 379-5912 |
| Full Name | Portageville Family Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 314 E Main St, Portageville, Missouri |
| Authorized Official Name and Position | Cheryl A White (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5737482404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portageville Family Clinic 311 Main St P.o. Box 400 New Madrid MO 63869-1942 Ph: (573) 748-2404 | Portageville Family Clinic 314 E Main St Portageville MO 63873-1616 Ph: (573) 379-5929 |
| NPI Number | 1780803916 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 03/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780803916 | NPI | - | NPPES |
| 000010626 | Other | MO | GROUP PTAN |
| 503973901 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
A Plus Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 E 3rd St, Portageville, MO 63873 Phone: 573-379-2100 Fax: 573-379-2101 | |
Portageville Community Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 204 E 3rd St, Portageville, MO 63873 Phone: 573-379-5467 Fax: 573-379-5671 | |
Portageville Primary Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 E Main St, Portageville, MO 63873 Phone: 573-379-3777 Fax: 573-379-9331 | |
A Plus Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 E 3rd St, Portageville, MO 63873 Phone: 573-379-2100 Fax: 579-379-2101 | |
A Plus Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 E 3rd St, Portageville, MO 63873 Phone: 573-379-2100 Fax: 573-379-2101 |