| |
811 S Business Highway 13 Ste A Lexington MO 64067 | |
(660) 259-3823 | |
(660) 259-4486 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 811 S Business Highway 13 Ste A, Lexington, Missouri |
Authorized Official Name and Position | Hilda Fuentes (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8168894600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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811 S Business Highway 13 Ste A Lexington MO 64067-1572 Ph: (660) 259-3823 | 811 S Business Highway 13 Ste A Lexington MO 64067 Ph: (660) 259-3823 |
NPI Number | 1164614053 |
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Provider Enumeration Date | 08/14/2007 |
Last Update Date | 06/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164614053 | NPI | - | NPPES |
500859186 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Missouri) | Primary |
Wentworth Military Academy And Junior College Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1880 Washington Ave, Lexington, MO 64067 Phone: 660-259-2221 Fax: 660-259-2677 | |
Family Health Medical Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 S Highway 13, Lexington, MO 64067 Phone: 660-259-2240 Fax: 660-259-2250 | |
Family Health Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 S Highway 13, Lexington, MO 64067 Phone: 660-259-2240 Fax: 660-259-2250 | |