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108 W 15th Street Caruthersville MO 63830-2202 | |
(731) 512-1277 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 108 W 15th Street, Caruthersville, Missouri |
Authorized Official Name and Position | James E Ross (CEO) |
Authorized Official Contact | 7315416735 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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108 W 15th Street Caruthersville MO 63830-2202 Ph: (573) 333-0033 | 108 W 15th Street Caruthersville MO 63830-2202 Ph: (731) 512-1277 |
NPI Number | 1477870467 |
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Provider Enumeration Date | 04/29/2010 |
Last Update Date | 01/03/2022 |
Medicare PECOS PAC ID | 5698024891 |
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Medicare Enrollment ID | O20180822000052 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477870467 | NPI | - | NPPES |
079-3800 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Caruthersville Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Ward Ave, Caruthersville, MO 63830 Phone: 579-333-0033 Fax: 573-333-2522 | |
Wt Regional Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 W 15th St, Caruthersville, MO 63830 Phone: 573-333-0033 Fax: 573-333-2522 | |
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