| Portageville Primary Care Center | |
|
314 E Main St Portageville MO 63873-1616 | |
| (573) 379-3777 | |
| (573) 379-9331 |
| Full Name | Portageville Primary Care Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 314 E Main St, Portageville, Missouri |
| Authorized Official Name and Position | Mark R Davis (CEO) |
| Authorized Official Contact | 5733593612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portageville Primary Care Center 314 E Main St Portageville MO 63873-1616 Ph: (573) 379-3777 | Portageville Primary Care Center 314 E Main St Portageville MO 63873-1616 Ph: (573) 379-3777 |
| NPI Number | 1699873372 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 05/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699873372 | NPI | - | NPPES |
| 596948109 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (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 | |
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 | |
Portageville Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 E Main St, Portageville, MO 63873 Phone: 573-379-5929 Fax: 573-379-5912 | |
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 |