| Riverside Medical Clinic | |
|
101 Progress Pkwy Sullivan MO 63080-2359 | |
| (573) 486-3555 | |
| (314) 996-3610 |
| Full Name | Riverside Medical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 101 Progress Pkwy, Sullivan, Missouri |
| Authorized Official Name and Position | Augusto A Noronha (VICE PRESIDENT FINANCE AND CFO) |
| Authorized Official Contact | 3149965118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Medical Clinic 670 Mason Ridge Center Dr Suite 300 Saint Louis MO 63141-8573 Ph: (314) 996-7644 | Riverside Medical Clinic 101 Progress Pkwy Sullivan MO 63080-2359 Ph: (573) 486-3555 |
| NPI Number | 1962591958 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 12/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962591958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 355-24 (Missouri) | Primary |
Sullivan Medical Office Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-486-4186 Fax: 314-996-3610 | |
Mercy Clinic East Communities Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1326 S Service Rd W Ste 20, Sullivan, MO 63080 Phone: 573-468-3555 | |
Premier Health Center, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Progress Pkwy, Sullivan, MO 63080 Phone: 573-468-6011 Fax: 573-468-7868 | |
Patients First Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Progress Pkwy, Sullivan, MO 63080 Phone: 573-468-3555 Fax: 573-468-3554 | |
Patients First Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Cumberland Way Ste A, Sullivan, MO 63080 Phone: 573-468-2006 Fax: 573-468-2026 | |
Compass Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Progress Pkwy, Sullivan, MO 63080 Phone: 660-890-8186 | |
Sullivan Medical Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000 |