| Steadfast Spine And Sports Medicine Of Warrenton Llc | |
|
1428 N State Highway 47 Ste B Warrenton MO 63383-1375 | |
| (636) 456-2966 | |
| Not Available |
| Full Name | Steadfast Spine And Sports Medicine Of Warrenton Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1428 N State Highway 47 Ste B, Warrenton, Missouri |
| Authorized Official Name and Position | Justin Cosgrove (OWNER) |
| Authorized Official Contact | 6362830328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steadfast Spine And Sports Medicine Of Warrenton Llc 1428 N State Highway 47 Ste B Warrenton MO 63383-1375 Ph: (636) 456-2966 | Steadfast Spine And Sports Medicine Of Warrenton Llc 1428 N State Highway 47 Ste B Warrenton MO 63383-1375 Ph: (636) 456-2966 |
| NPI Number | 1366283467 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 06/03/2024 |
| Medicare PECOS PAC ID | 4789123704 |
|---|---|
| Medicare Enrollment ID | O20240822000656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366283467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Justin Cosgrove |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245010743 PECOS PAC ID: 9537515473 Enrollment ID: I20231027002662 |
Sport And Spine Chiropractic Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 810 E Highway M, Warrenton, MO 63383 Phone: 636-456-2966 Fax: 636-456-2977 | |
Patients First Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 E Booneslick Rd, Warrenton, MO 63383 Phone: 636-456-6103 Fax: 636-456-6124 | |
Claybrooke Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1428 N Highway 47, Suite B., Warrenton, MO 63383 Phone: 636-456-1500 Fax: 636-456-5014 | |