Richland Medical Center, Inc | |
101 12th St Crocker MO 65452-9203 | |
(877) 406-2662 | |
(573) 765-3824 |
Full Name | Richland Medical Center, Inc |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 101 12th St, Crocker, Missouri |
Authorized Official Name and Position | Kelly Miller (CEO) |
Authorized Official Contact | 5738367071 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Richland Medical Center, Inc Po Box 777 Richland MO 65556-0777 Ph: (573) 677-4425 | Richland Medical Center, Inc 101 12th St Crocker MO 65452-9203 Ph: (877) 406-2662 |
NPI Number | 1457120669 |
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Provider Enumeration Date | 12/28/2023 |
Last Update Date | 01/15/2024 |
Identifier | Type | State | Issuer |
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1457120669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |