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400 N Fullerton St Princeton MO 64673-1418 | |
| (660) 748-4042 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 N Fullerton St, Princeton, Missouri |
| Authorized Official Name and Position | Erin Parde (CFO) |
| Authorized Official Contact | 8168805277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
191 Iowa Blvd Trenton MO 64683-8343 Ph: (660) 358-5700 | 400 N Fullerton St Princeton MO 64673-1418 Ph: (660) 748-4042 |
| NPI Number | 1962877514 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 11/25/2024 |
| Medicare PECOS PAC ID | 3971495532 |
|---|---|
| Medicare Enrollment ID | O20160301000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962877514 | NPI | - | NPPES |
Infinity Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 606 W Main St, Princeton, MO 64673 Phone: 660-748-3022 Fax: 515-608-4592 | |
Tammy Hart, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Fullerton St, Princeton, MO 64673 Phone: 660-748-4040 Fax: 660-748-4042 |