| Southeasthealth Internal Medicine Of Dexter | |
|
1300 N One Mile Rd Dexter MO 63841-1042 | |
| (573) 614-1951 | |
| Not Available |
| Full Name | Southeasthealth Internal Medicine Of Dexter |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1300 N One Mile Rd, Dexter, Missouri |
| Authorized Official Name and Position | Kathy Vickery (VICE PRESIDENT REGIONAL OPERATIONS) |
| Authorized Official Contact | 5736141901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeasthealth Internal Medicine Of Dexter Po Box 368 Dexter MO 63841-0368 Ph: (573) 614-1951 | Southeasthealth Internal Medicine Of Dexter 1300 N One Mile Rd Dexter MO 63841-1042 Ph: (573) 614-1951 |
| NPI Number | 1629111729 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 12/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629111729 | NPI | - | NPPES |
| 595968900 | Medicaid | MO | |
| DC5219 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |
Stoddard County Family Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 N One Mile Rd, Dexter, MO 63841 Phone: 573-624-1640 | |
Davis Health & Wellness Clinic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 Speciality Dr Ste A, Dexter, MO 63841 Phone: 573-891-1250 Fax: 573-891-1320 | |
Ferguson Medical Group Rural Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E Business Us Highway 60, Dexter, MO 63841 Phone: 573-614-5007 | |
Jibben Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1523 W Business Hwy 60, Dexter, MO 63841 Phone: 573-624-8447 | |
The Clinic At Walmart Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 W Bus Hwy 60, Dexter, MO 63841 Phone: 573-624-7575 Fax: 573-624-6399 | |
Mercy Hospital Stoddard Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2025 W Business Us Highway 60, Dexter, MO 63841 Phone: 573-614-4600 Fax: 573-614-4606 | |
Dexter Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 N One Mile Rd, Suite 1, Dexter, MO 63841 Phone: 573-624-7788 |