| Puxico Medical Clinic | |
|
130 E Harbin Ave Puxico MO 63960-9104 | |
| (573) 222-3556 | |
| Not Available |
| Full Name | Puxico Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 130 E Harbin Ave, Puxico, Missouri |
| Authorized Official Name and Position | Paula Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6292153953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Puxico Medical Clinic 130 E Harbin Ave Puxico MO 63960-9104 Ph: (573) 222-3556 | Puxico Medical Clinic 130 E Harbin Ave Puxico MO 63960-9104 Ph: (573) 222-3556 |
| NPI Number | 1275576654 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 04/20/2021 |
| Medicare PECOS PAC ID | 6800707225 |
|---|---|
| Medicare Enrollment ID | O20030909000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275576654 | NPI | - | NPPES |
| 598145803 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Woods Medical Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 S Hickman St, Puxico, MO 63960 Phone: 573-222-2292 Fax: 573-222-2383 | |
Puxico Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 E Harbin Ave, Puxico, MO 63960 Phone: 573-222-3556 Fax: 573-222-3127 |