| Shepherd's View Assisted Living | |
|
100 Shepherds Lane Alton MO 65606 | |
| (417) 778-7959 | |
| (417) 778-1849 |
| Full Name | Shepherd's View Assisted Living |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 100 Shepherds Lane, Alton, Missouri |
| Authorized Official Name and Position | Beckie Dawn Combs (PRESIDENT) |
| Authorized Official Contact | 4177787959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shepherd's View Assisted Living 100 Shepherds Lane Po Box 429 Alton MO 65606 Ph: (417) 778-7959 | Shepherd's View Assisted Living 100 Shepherds Lane Alton MO 65606 Ph: (417) 778-7959 |
| NPI Number | 1891739033 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 07/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891739033 | NPI | - | NPPES |
| 265179200 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 030781 (Missouri) | Primary |
Ozarks Healthcare Alton Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Medical Drive, Alton, MO 65606 Phone: 417-778-7227 Fax: 417-778-7225 |