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1120 S Springfield Ave Bolivar MO 65613-2512 | |
(417) 326-6000 | |
(417) 326-4059 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1120 S Springfield Ave, Bolivar, Missouri |
Authorized Official Name and Position | Donald J Babb (CEO) |
Authorized Official Contact | 4173266000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1120 S Springfield Ave Bolivar MO 65613-2512 Ph: (417) 326-7814 | 1120 S Springfield Ave Bolivar MO 65613-2512 Ph: (417) 326-6000 |
NPI Number | 1407141153 |
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Provider Enumeration Date | 06/10/2011 |
Last Update Date | 09/14/2016 |
Medicare PECOS PAC ID | 4183528169 |
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Medicare Enrollment ID | O20111013000158 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407141153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Bolivar Family Care Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 Fax: 417-326-6347 | |
Bolivar Family Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 | |
Bolivar Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 S Springfield Ave, Bolivar, MO 65613 Phone: 417-326-4000 Fax: 417-326-6400 | |
Carl L. Blomenkamp,d.c.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2853 W Broadway St, Bolivar, MO 65613 Phone: 417-326-3888 |