| West Tennessee Medical Group Primary Care Caruthersville | |
|
108 W 15th Street Caruthersville MO 63830-2202 | |
| (731) 512-1277 | |
| Not Available |
| Full Name | West Tennessee Medical Group Primary Care Caruthersville |
|---|---|
| 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 |
|---|---|
| West Tennessee Medical Group Primary Care Caruthersville 108 W 15th Street Caruthersville MO 63830-2202 Ph: (573) 333-0033 | West Tennessee Medical Group Primary Care Caruthersville 108 W 15th Street Caruthersville MO 63830-2202 Ph: (731) 512-1277 |
| NPI Number | 1477870467 |
|---|---|
| Provider Enumeration Date | 04/29/2010 |
| Last Update Date | 01/03/2022 |
| Medicare PECOS PAC ID | 5698024891 |
|---|---|
| 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 |
Doctors Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 West 12th St, Caruthersville, MO 63830 Phone: 573-359-1782 Fax: 573-333-4665 | |
Caruthersville Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Ward Ave, Caruthersville, MO 63830 Phone: 573-333-0033 Fax: 573-333-2522 | |
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 | |
Caruthersville Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Caruthersville Medical Center, 109 East 5th Street, Caruthersville, MO 63830 Phone: 573-359-9803 Fax: 573-359-0990 | |
Grace Family Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 Ward Ave, Caruthersville, MO 63830 Phone: 573-922-5111 Fax: 573-922-5126 |