Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 1521 3rd Rd, Stockton, 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 |
---|---|
1521 3rd Rd Stockton MO 65785-9608 Ph: (417) 276-5131 | 1521 3rd Rd Stockton MO 65785-9608 Ph: (417) 276-5131 |
NPI Number | 1447464227 |
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Provider Enumeration Date | 05/10/2007 |
Last Update Date | 10/15/2014 |
Medicare PECOS PAC ID | 4183528169 |
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Medicare Enrollment ID | O20080125000568 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447464227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Ozarks Resource Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W Smith Dr, Stockton, MO 65785 Phone: 417-745-0103 | |
Saving Grace Family Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 724 West St, Stockton, MO 65785 Phone: 417-276-7000 | |