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4201 N Belt Hwy Store 560 Saint Joseph MO 64506-1299 | |
(816) 749-4444 | |
(816) 749-4447 |
Full Name | |
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Speciality | Family Medicine |
Location | 4201 N Belt Hwy, Saint Joseph, Missouri |
Authorized Official Name and Position | Cindy Patterson (REIMBURSEMENT SPECIALIST) |
Authorized Official Contact | 8162717861 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5325 Faraon St Saint Joseph MO 64506-3488 Ph: (816) 271-6000 | 4201 N Belt Hwy Store 560 Saint Joseph MO 64506-1299 Ph: (816) 749-4444 |
NPI Number | 1053600106 |
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Provider Enumeration Date | 03/29/2011 |
Last Update Date | 05/19/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053600106 | NPI | - | NPPES |
100099580A | Medicaid | KS | |
010156800 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 426-14 (Missouri) | Primary |