| Salt River Community Dental Center | |
|
248 N Morgan St Kahoka MO 63445-1433 | |
| (660) 727-1500 | |
| (660) 727-1502 |
| Full Name | Salt River Community Dental Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 248 N Morgan St, Kahoka, Missouri |
| Authorized Official Name and Position | Joan F Hynek (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5732214422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt River Community Dental Center 3145 N Highway 61 Hannibal MO 63401-6588 Ph: (573) 221-4422 | Salt River Community Dental Center 248 N Morgan St Kahoka MO 63445-1433 Ph: (660) 727-1500 |
| NPI Number | 1295058287 |
|---|---|
| Provider Enumeration Date | 03/05/2010 |
| Last Update Date | 05/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295058287 | NPI | - | NPPES |
| 1750422457 | Other | MO | NPI (PARENT ORGANIZATION) |
| 833215221 | Other | MO | MEDICARE-PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 19782870 (Missouri) | Primary |
Crenshaw Family Practice Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 E Main, Kahoka, MO 63445 Phone: 660-727-3388 Fax: 660-727-2196 | |
Blessing Health Kahoka Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 E Commercial St, Kahoka, MO 63445 Phone: 660-727-3377 Fax: 660-727-3775 | |
Quincy Medical Group Kahoka Affiliate Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 133 E Main St, Kahoka, MO 63445 Phone: 660-727-3388 Fax: 660-727-2196 | |
Kahoka Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 E Commercial St, Kahoka, MO 63445 Phone: 660-727-3377 Fax: 660-727-3775 |