| Ron Mcculley | |
|
2520 James St Scott City MO 63780-1219 | |
| (573) 264-2424 | |
| Not Available |
| Full Name | Ron Mcculley |
|---|---|
| Speciality | Clinic/center |
| Location | 2520 James St, Scott City, Missouri |
| Authorized Official Name and Position | Ron Mcculley (ADMINISTRATOR) |
| Authorized Official Contact | 5732642424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ron Mcculley 2520 James St Scott City MO 63780-1219 Ph: (573) 264-2424 | Ron Mcculley 2520 James St Scott City MO 63780-1219 Ph: (573) 264-2424 |
| NPI Number | 1649397779 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649397779 | NPI | - | NPPES |
| 266796309 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 032088 (Missouri) | Primary |
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