| Scotland County Memorial Hospital Dba Wyaconda Medical Services | |
|
127 W Jefferson St Wyaconda MO 63474 | |
| (660) 479-5553 | |
| (660) 479-5520 |
| Full Name | Scotland County Memorial Hospital Dba Wyaconda Medical Services |
|---|---|
| Speciality | Family Medicine |
| Location | 127 W Jefferson St, Wyaconda, Missouri |
| Authorized Official Name and Position | Marcia R Dial (CEO) |
| Authorized Official Contact | 6604658511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scotland County Memorial Hospital Dba Wyaconda Medical Services Rr 1 Box 54 Memphis MO 63555-9788 Ph: (660) 465-2828 | Scotland County Memorial Hospital Dba Wyaconda Medical Services 127 W Jefferson St Wyaconda MO 63474 Ph: (660) 479-5553 |
| NPI Number | 1154529733 |
|---|---|
| Provider Enumeration Date | 07/05/2007 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154529733 | NPI | - | NPPES |
| 500028600 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Wyaconda Medical Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 124 W Jefferson St, Wyaconda, MO 63474 Phone: 660-479-5553 Fax: 660-479-5520 |