Wayne County Medical Clinic | |
135 Main Street Greenville MO 63944 | |
(573) 224-3660 | |
(573) 224-3770 |
Full Name | Wayne County Medical Clinic |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 135 Main Street, Greenville, Missouri |
Authorized Official Name and Position | Sherilyn Clark (CEO) |
Authorized Official Contact | 5736632313 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wayne County Medical Clinic Po Box 157 Ellington MO 63638-0157 Ph: (573) 663-2313 | Wayne County Medical Clinic 135 Main Street Greenville MO 63944 Ph: (573) 224-3660 |
NPI Number | 1801021142 |
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Provider Enumeration Date | 05/15/2009 |
Last Update Date | 07/18/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801021142 | NPI | - | NPPES |
000010497 | Other | MO | STATE MEDICARE |
1801021142 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Missouri) | Primary |