| Valley Medical Center P.c. | |
|
308 S Harris St Willow Springs MO 65793-1621 | |
| (417) 469-3175 | |
| (417) 469-1274 |
| Full Name | Valley Medical Center P.c. |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 308 S Harris St, Willow Springs, Missouri |
| Authorized Official Name and Position | William E Berner (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 9898927722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Medical Center P.c. 308 S Harris St Willow Springs MO 65793-1621 Ph: (417) 469-3175 | Valley Medical Center P.c. 308 S Harris St Willow Springs MO 65793-1621 Ph: (417) 469-3175 |
| NPI Number | 1215002027 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 07/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215002027 | NPI | - | NPPES |
| 508622206 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |
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