| 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 | Family Medicine |
| 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 | 1740225598 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 08/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740225598 | NPI | - | NPPES |
| 205784 | Other | MO | BLUE CROSS |
| 598649408 | Medicaid | MO | |
| 112904 | Other | MO | BLUE CROSS |
| 263871 | Other | CAHABA GBA | |
| P00163042 | Other | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
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