| Quality Health Care, Inc. | |
|
330 N State St Ste. C Desloge MO 63601-3052 | |
| (573) 431-5177 | |
| (573) 431-7186 |
| Full Name | Quality Health Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 330 N State St, Desloge, Missouri |
| Authorized Official Name and Position | Donna K. Thurston (ADMINISTRATOR) |
| Authorized Official Contact | 5734315177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Health Care, Inc. 330 N State St Ste. C Desloge MO 63601-3052 Ph: (573) 431-5177 | Quality Health Care, Inc. 330 N State St Ste. C Desloge MO 63601-3052 Ph: (573) 431-5177 |
| NPI Number | 1427180074 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 05/06/2015 |
| Medicare PECOS PAC ID | 7911937842 |
|---|---|
| Medicare Enrollment ID | O20050819000317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427180074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Stephen M Forsythe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376509067 PECOS PAC ID: 7416852967 Enrollment ID: I20031206000079 |
| Provider Name | Alicia R Whitwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174602221 PECOS PAC ID: 3274610605 Enrollment ID: I20080409000208 |
| Provider Name | Laurence Lum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932193554 PECOS PAC ID: 8224126867 Enrollment ID: I20100611000663 |
| Provider Name | Debbie Ann Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528417631 PECOS PAC ID: 8527313055 Enrollment ID: I20180625000218 |
| Provider Name | Tabitha Jewel Pinkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346866316 PECOS PAC ID: 3274951330 Enrollment ID: I20200922001910 |
Eastern Missouri General Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 No State Street, Desloge, MO 63601 Phone: 573-431-4510 Fax: 573-431-4790 | |
Quality Health Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 N State St, Suite C, Desloge, MO 63601 Phone: 573-431-2829 Fax: 573-431-7186 |