| Tcmh - Cabool Medical Clinic | |
|
500 Main Street Cabool MO 65689 | |
| (417) 962-3015 | |
| (417) 962-5938 |
| Full Name | Tcmh - Cabool Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 Main Street, Cabool, Missouri |
| Authorized Official Name and Position | Linda J. Pamperien (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4179673311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tcmh - Cabool Medical Clinic 500 Main Street Po Box 380 Cabool MO 65689 Ph: (417) 962-3015 | Tcmh - Cabool Medical Clinic 500 Main Street Cabool MO 65689 Ph: (417) 962-3015 |
| NPI Number | 1396785135 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 08/10/2010 |
| Medicare PECOS PAC ID | 9436041696 |
|---|---|
| Medicare Enrollment ID | O20060323000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396785135 | NPI | - | NPPES |
| 26D0859759 | Other | MO | CLIA |
| 507943900 | Medicaid | MO | |
| 26-8603 | Other | MO | RH MEDICARE |
| 597943901 | Other | MO | RH MEDICAID |
| Provider Name | Stephen L Hawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336188903 PECOS PAC ID: 3577474733 Enrollment ID: I20050929000433 |
| Provider Name | Terry L Bruno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013954049 PECOS PAC ID: 4385645357 Enrollment ID: I20070118000521 |
| Provider Name | Lynsey R Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417492539 PECOS PAC ID: 1951684851 Enrollment ID: I20170217001991 |
| Provider Name | Samantha D Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932734092 PECOS PAC ID: 7517397573 Enrollment ID: I20200415002855 |
| Provider Name | Stephanie A Thurman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043966724 PECOS PAC ID: 5193193571 Enrollment ID: I20221115003060 |
Barton Family Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Main St, Cabool, MO 65689 Phone: 417-839-3886 Fax: 417-962-4947 | |
Douglas County Public Health Services Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Dys Dr, Cabool, MO 65689 Phone: 417-962-4344 | |
Medical Clinic Of Cabool Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Main Street, Cabool, MO 65689 Phone: 417-962-3121 Fax: 417-962-5240 | |
Tcmh Family Clinic & Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Main Street, Cabool, MO 65689 Phone: 417-962-3015 Fax: 417-962-5938 | |
Missouri Ozarks Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 904 Zimmerman Ave, Cabool, MO 65689 Phone: 417-683-4831 | |
Tcmh Cabool Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Main Street, Cabool, MO 65689 Phone: 417-962-3015 Fax: 417-962-5938 |