| Putnam County Medical Home Clinics, Llc | |
|
103 S 18th St Unionville MO 63565-1642 | |
| (660) 947-2300 | |
| (660) 947-2307 |
| Full Name | Putnam County Medical Home Clinics, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 103 S 18th St, Unionville, Missouri |
| Authorized Official Name and Position | Dawn Fairley (SOLE OWNER) |
| Authorized Official Contact | 6107374704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Putnam County Medical Home Clinics, Llc 2221 Green St Unionville MO 63565-1426 Ph: (610) 737-4704 | Putnam County Medical Home Clinics, Llc 103 S 18th St Unionville MO 63565-1642 Ph: (660) 947-2300 |
| NPI Number | 1437600657 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 10/24/2016 |
| Medicare PECOS PAC ID | 5496034936 |
|---|---|
| Medicare Enrollment ID | O20161128001132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437600657 | NPI | - | NPPES |
| 207348905 | Medicaid | MO | |
| 749127 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Dawn Anne Fairley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801832373 PECOS PAC ID: 7416842323 Enrollment ID: I20070110000077 |
Putnam County Memorial Hospital Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1926 Oak St, Unionville, MO 63565 Phone: 660-947-2425 Fax: 660-947-7024 | |
Kirksville Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 S 18th St, Unionville, MO 63565 Phone: 660-947-2300 Fax: 660-947-2307 | |
L.a. Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 S 16th St, Unionville, MO 63565 Phone: 660-947-4191 Fax: 660-947-4091 | |
Heartland Chiropractic & Wellness, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1719 Main St, Unionville, MO 63565 Phone: 660-947-7325 Fax: 660-947-7326 | |
Putnam County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1926 Oak St, Unionville, MO 63565 Phone: 660-947-2411 Fax: 660-947-3825 |