Riverbranch Healthcare, Llc | |
9912 W Farm Road 156 Republic MO 65738-2547 | |
(417) 501-9042 | |
(949) 695-4867 |
Full Name | Riverbranch Healthcare, Llc |
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Speciality | Clinic/Center |
Location | 9912 W Farm Road 156, Republic, Missouri |
Authorized Official Name and Position | Sara Mccalley (FNP-C) |
Authorized Official Contact | 4175019042 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Riverbranch Healthcare, Llc 566 E Harrison St # 235 Republic MO 65738-1353 Ph: (417) 501-9042 | Riverbranch Healthcare, Llc 9912 W Farm Road 156 Republic MO 65738-2547 Ph: (417) 501-9042 |
NPI Number | 1982447702 |
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Provider Enumeration Date | 06/18/2024 |
Last Update Date | 06/18/2024 |
Medicare PECOS PAC ID | 2860939782 |
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Medicare Enrollment ID | O20240808003009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982447702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Sara Mccalley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992252852 PECOS PAC ID: 1052689361 Enrollment ID: I20170609000578 |
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