| Woods Medical Clinic, Llc | |
|
250 S Hickman St Puxico MO 63960-9122 | |
| (573) 222-2292 | |
| (573) 222-2383 |
| Full Name | Woods Medical Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 250 S Hickman St, Puxico, Missouri |
| Authorized Official Name and Position | Randy Lynn Woods (OWNER) |
| Authorized Official Contact | 5732222292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woods Medical Clinic, Llc 250 S Hickman St Puxico MO 63960-9122 Ph: (573) 222-2292 | Woods Medical Clinic, Llc 250 S Hickman St Puxico MO 63960-9122 Ph: (573) 222-2292 |
| NPI Number | 1578682779 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 03/05/2021 |
| Medicare PECOS PAC ID | 4587644091 |
|---|---|
| Medicare Enrollment ID | O20040724000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578682779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Randy L Woods |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023009859 PECOS PAC ID: 8123008638 Enrollment ID: I20120210000726 |
Puxico Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 E Harbin Ave, Puxico, MO 63960 Phone: 573-222-3556 | |
Puxico Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 E Harbin Ave, Puxico, MO 63960 Phone: 573-222-3556 Fax: 573-222-3127 |