Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 515 Hugh Ave, Sparta, Missouri |
Authorized Official Name and Position | Angela Helms (MANAGER) |
Authorized Official Contact | 4176343000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 449 Sparta MO 65753-0449 Ph: (417) 634-3000 | 515 Hugh Ave Sparta MO 65753-0449 Ph: (417) 634-3000 |
NPI Number | 1689758872 |
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Provider Enumeration Date | 10/24/2006 |
Last Update Date | 05/20/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689758872 | NPI | - | NPPES |
593917701 | Medicaid | MO |
Bridges Medical Services P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Village Dr, Sparta, MO 65753 Phone: 417-634-4203 Fax: 417-634-4505 |