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1355 Rocketdyne Rd Neosho MO 64850-3106 | |
(417) 451-7425 | |
(417) 451-7455 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1355 Rocketdyne Rd, Neosho, Missouri |
Authorized Official Name and Position | Paul G Taylor (CEO) |
Authorized Official Contact | 4178374004 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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117 E Hickory St Neosho MO 64850-1806 Ph: (417) 451-4545 | 1355 Rocketdyne Rd Neosho MO 64850-3106 Ph: (417) 451-7425 |
NPI Number | 1982254371 |
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Provider Enumeration Date | 09/17/2019 |
Last Update Date | 03/21/2024 |
Medicare PECOS PAC ID | 5092616276 |
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Medicare Enrollment ID | O20191010002373 |
Identifier | Type | State | Issuer |
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1982254371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Freeman Neosho Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 336 S Jefferson St, Neosho, MO 64850 Phone: 417-455-4200 | |
Free Market Physician Hospital Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4040 La Questa Dr, Neosho, MO 64850 Phone: 417-283-4953 | |