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522 Virginia St Sikeston MO 63801-5812 | |
(573) 624-1901 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 522 Virginia St, Sikeston, 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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1200 N One Mile Rd Dexter MO 63841-1000 Ph: (573) 614-1900 | 522 Virginia St Sikeston MO 63801-5812 Ph: (573) 624-1901 |
NPI Number | 1679041040 |
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Provider Enumeration Date | 11/05/2018 |
Last Update Date | 02/19/2024 |
Medicare PECOS PAC ID | 7315192515 |
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Medicare Enrollment ID | O20190103001427 |
Identifier | Type | State | Issuer |
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1679041040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Managed Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 Hunter, Suite 4, Sikeston, MO 63801 Phone: 573-471-2905 | |
Missouri Delta Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 N Main St, Sikeston, MO 63801 Phone: 573-471-1600 Fax: 573-472-7740 | |
Missouri Delta Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 123 Smith Ave, Sikeston, MO 63801 Phone: 573-471-0200 | |
Missouri Delta Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 N Main St, Sikeston, MO 63801 Phone: 573-471-1600 Fax: 573-472-7740 |