Mercy Hospital Stoddard | |
1003 State Hwy 25 North Bloomfield MO 63825 | |
(573) 568-3686 | |
Not Available |
Full Name | Mercy Hospital Stoddard |
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Speciality | Clinic/Center |
Location | 1003 State Hwy 25 North, Bloomfield, Missouri |
Authorized Official Name and Position | Krista Berry (CFO) |
Authorized Official Contact | 5733316028 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mercy Hospital Stoddard Po Box 368 Dexter MO 63841-0368 Ph: (573) 624-3165 | Mercy Hospital Stoddard 1003 State Hwy 25 North Bloomfield MO 63825 Ph: (573) 568-3686 |
NPI Number | 1265575385 |
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Provider Enumeration Date | 02/15/2007 |
Last Update Date | 01/13/2024 |
Medicare PECOS PAC ID | 7315192515 |
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Medicare Enrollment ID | O20130219000420 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265575385 | NPI | - | NPPES |
599176906 | Medicaid | MO | |
DC5318 | Other | MO | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |
Bloomfield Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 South Prairie Street, Bloomfield, MO 63825 Phone: 573-568-3838 Fax: 573-568-4212 | |
Bloomfield Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S. Prairie, Bloomfield, MO 63825 Phone: 573-568-3838 | |
Msh Internal Medicine Of Bloomfield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 Highway 25 North, Bloomfield, MO 63825 Phone: 573-568-3686 |