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. |
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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 |
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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 |
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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 |