| |
700 W Adams St Bowling Green MO 63334-2046 | |
(573) 603-1460 | |
(573) 603-1462 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 700 W Adams St, Bowling Green, Missouri |
Authorized Official Name and Position | Mark Conover (CHIEF REVENUE OFFICER) |
Authorized Official Contact | 5733530014 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1601 Old South River Rd Saint Charles MO 63303-4120 Ph: (636) 224-1210 | 700 W Adams St Bowling Green MO 63334-2046 Ph: (573) 603-1460 |
NPI Number | 1902362965 |
---|---|
Provider Enumeration Date | 02/14/2019 |
Last Update Date | 07/29/2022 |
Medicare PECOS PAC ID | 0244256246 |
---|---|
Medicare Enrollment ID | O20200114000626 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902362965 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Bgmg Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Highway 161, Bowling Green, MO 63334 Phone: 573-324-3333 Fax: 573-324-3334 | |
Naman Ghazal Albar Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 W Church St, Bowling Green, MO 63334 Phone: 573-324-5300 | |