| Scott City Medical Clinic Llc | |
|
2102 Main St Scott City MO 63780-1337 | |
| (573) 264-0042 | |
| (573) 264-0087 |
| Full Name | Scott City Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2102 Main St, Scott City, Missouri |
| Authorized Official Name and Position | Kevin W Mccallum (CEO) |
| Authorized Official Contact | 5732640042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott City Medical Clinic Llc 2102 Main St Scott City MO 63780-1337 Ph: (573) 264-0042 | Scott City Medical Clinic Llc 2102 Main St Scott City MO 63780-1337 Ph: (573) 264-0042 |
| NPI Number | 1699472399 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 02/13/2023 |
| Medicare PECOS PAC ID | 2264699651 |
|---|---|
| Medicare Enrollment ID | O20230223002765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699472399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Alywin E. Kluttz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538165063 PECOS PAC ID: 2860395449 Enrollment ID: I20050926000256 |
| Provider Name | Karen I Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982983771 PECOS PAC ID: 4385872373 Enrollment ID: I20140121001463 |
| Provider Name | Richard Amesquita |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1326254616 PECOS PAC ID: 5698759397 Enrollment ID: I20231108002788 |
Saint Francis Clinic Scott City Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 E Outer Rd, Scott City, MO 63780 Phone: 573-264-2211 Fax: 573-471-0461 | |
Ferguson Medical Group Rural Health Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 E Outer Rd, Scott City, MO 63780 Phone: 573-264-2211 Fax: 573-264-2177 | |
Saint Francis Clinic Scott City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 E Outer Rd, Scott City, MO 63780 Phone: 573-264-2211 Fax: 573-471-0461 | |
Mcpherson Medical & Diagnostic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2102 Main St, Scott City, MO 63780 Phone: 573-264-0042 Fax: 573-264-0087 | |
Ron Mcculley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2520 James St, Scott City, MO 63780 Phone: 573-264-2424 | |
Mcpherson Medical & Diagnostic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2102 Main St, Scott City, MO 63780 Phone: 573-264-0042 Fax: 573-264-0087 |