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35629 Hwy 72 Bld. 3 Salem MO 65560-0719 | |
(573) 729-8000 | |
(573) 729-8001 |
Full Name | |
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Speciality | Clinic/Center |
Location | 35629 Hwy 72, Salem, Missouri |
Authorized Official Name and Position | Dennis P Pryor (HOSPITAL ADMINISTRATOR) |
Authorized Official Contact | 5737296626 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 719 Salem MO 65560-0719 Ph: (573) 729-8000 | 35629 Hwy 72 Bld. 3 Salem MO 65560-0719 Ph: (573) 729-8000 |
NPI Number | 1821243981 |
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Provider Enumeration Date | 11/17/2008 |
Last Update Date | 12/17/2008 |
Medicare PECOS PAC ID | 7012801129 |
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Medicare Enrollment ID | O20090602000202 |
Identifier | Type | State | Issuer |
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1821243981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 | |