Shirkey Diversified Health Services, Inc. | |
701 Wollard Blvd Richmond MO 64085-2206 | |
(816) 776-5403 | |
Not Available |
Full Name | Shirkey Diversified Health Services, Inc. |
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Speciality | Family Medicine |
Location | 701 Wollard Blvd, Richmond, Missouri |
Authorized Official Name and Position | Chris Brown (CEO) |
Authorized Official Contact | 8167765403 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shirkey Diversified Health Services, Inc. 701 Wollard Blvd Richmond MO 64085-2206 Ph: () - | Shirkey Diversified Health Services, Inc. 701 Wollard Blvd Richmond MO 64085-2206 Ph: (816) 776-5403 |
NPI Number | 1669207775 |
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Provider Enumeration Date | 09/06/2024 |
Last Update Date | 09/06/2024 |
Medicare PECOS PAC ID | 6103980016 |
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Medicare Enrollment ID | O20241011000273 |
Identifier | Type | State | Issuer |
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1669207775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Angela Marie Weisz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871296400 PECOS PAC ID: 1557705480 Enrollment ID: I20241011000314 |
Richmond Family Clinic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 420 Wollard Blvd, Richmond, MO 64085 Phone: 816-470-2131 Fax: 816-470-7171 | |
Bls Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 Wollard Blvd, Richmond, MO 64085 Phone: 816-776-2201 Fax: 816-776-7678 |