| Tri County Medical Clinic P C | |
|
208 N Ogden St Box 367 Sturgeon MO 65284-9217 | |
| (573) 687-3411 | |
| (573) 687-3328 |
| Full Name | Tri County Medical Clinic P C |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 208 N Ogden St, Sturgeon, Missouri |
| Authorized Official Name and Position | Alan M Weaver (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5736873411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri County Medical Clinic P C 6601 W Thornhill Rd Clark MO 65243-9381 Ph: (573) 687-3411 | Tri County Medical Clinic P C 208 N Ogden St Box 367 Sturgeon MO 65284-9217 Ph: (573) 687-3411 |
| NPI Number | 1639317050 |
|---|---|
| Provider Enumeration Date | 01/22/2009 |
| Last Update Date | 01/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639317050 | NPI | - | NPPES |
| 242429009 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | R8G92 (Missouri) | Primary |
Sturgeon Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 N Ogden St, Sturgeon, MO 65284 Phone: 573-687-2019 |