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3300 E 10th St Trenton MO 64683-9579 | |
(660) 359-3939 | |
(660) 359-4372 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 3300 E 10th St, Trenton, Missouri |
Authorized Official Name and Position | Gary W Jordan (CEO) |
Authorized Official Contact | 6603585700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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189 Iowa Blvd Trenton MO 64683-8343 Ph: (660) 358-5750 | 3300 E 10th St Trenton MO 64683-9579 Ph: (660) 359-3939 |
NPI Number | 1699186387 |
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Provider Enumeration Date | 05/15/2014 |
Last Update Date | 05/15/2014 |
Identifier | Type | State | Issuer |
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1699186387 | NPI | - | NPPES |