<unavail> in Thayer, MO - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Thayer, Missouri. The current practice location for is 365 E Walnut St, Thayer, Missouri. For appointments, you can reach them via phone at (417) 255-8464. The mailing address for is 1137 Independence Dr, West Plains, Missouri and phone number is (417) 255-8464.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1619519550. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (417) 255-8464.

Contact Information


	365 E Walnut St Thayer MO 65791-1523
	(417) 255-8464
	(417) 255-9732

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	365 E Walnut St, Thayer, Missouri
Authorized Official Name and Position	Bryan Adcock (CEO)
Authorized Official Contact	4172558464
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1137 Independence Dr West Plains MO 65775-4221 Ph: (417) 255-8464	365 E Walnut St Thayer MO 65791-1523 Ph: (417) 255-8464

NPI Details:

NPI Number	1619519550
Provider Enumeration Date	10/11/2019
Last Update Date	10/25/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	6103734058
Medicare Enrollment ID	O20200409002050

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619519550	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Thayer, MO

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Rr 3 Box 3707, Thayer, MO 65791 Phone: 417-264-2990 Fax: 417-264-2993
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Walnut St, Thayer, MO 65791 Phone: 417-255-8464 Fax: 417-255-9732
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1375 Nettleton Avenue, Thayer, MO 65791 Phone: 417-264-7136 Fax: 417-264-7122

- Medicare Primary Care in Thayer, MO