<unavail> in Center, MO - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Center, Missouri. The current practice location for is 21622 Highway 19, Center, Missouri. For appointments, you can reach them via phone at (573) 603-1460. The mailing address for is 1601 Old South River Rd, Saint Charles, Missouri and phone number is (636) 224-1210.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255897203. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (573) 603-1460.

Contact Information


	21622 Highway 19 Center MO 63436-2195
	(573) 603-1460
	(573) 603-1462

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	21622 Highway 19, Center, 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 and Practice Location

Mailing Address	Practice Location Address
1601 Old South River Rd Saint Charles MO 63303-4120 Ph: (636) 224-1210	21622 Highway 19 Center MO 63436-2195 Ph: (573) 603-1460

NPI Details:

NPI Number	1255897203
Provider Enumeration Date	02/14/2019
Last Update Date	07/29/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	0244256246
Medicare Enrollment ID	O20200407001108

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255897203	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Center, MO

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 East Hwy 19, Center, MO 63436 Phone: 573-267-3318 Fax: 573-267-3933
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Highway 19, Center, MO 63436 Phone: 573-267-3318 Fax: 573-267-3933
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Highway 19, Center, MO 63436 Phone: 573-267-3318 Fax: 573-267-3933

- Medicare Primary Care in Center, MO