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35629 Highway 72 Bldg Ii Salem MO 65560-7217 | |
(573) 729-6112 | |
(573) 729-4035 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 35629 Highway 72 Bldg Ii, Salem, Missouri |
Authorized Official Name and Position | Rebecca Cunningham (CFO) |
Authorized Official Contact | 5737296626 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 69 Salem MO 65560-0069 Ph: (573) 729-6112 | 35629 Highway 72 Bldg Ii Salem MO 65560-7217 Ph: (573) 729-6112 |
NPI Number | 1821089657 |
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Provider Enumeration Date | 11/01/2005 |
Last Update Date | 01/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821089657 | NPI | - | NPPES |
596009506 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Charles W Cunningham Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Hwy 32 East, Salem, MO 65560 Phone: 573-729-5533 Fax: 573-729-7754 | |
South Central Missouri Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 S Mcarthur St, Salem, MO 65560 Phone: 573-426-2407 Fax: 573-426-6723 | |