| Wright Memorial Jamesport Clinic | |
|
301 W 2nd St Jamesport MO 64648-8208 | |
| (660) 684-6244 | |
| (660) 684-6246 |
| Full Name | Wright Memorial Jamesport Clinic |
|---|---|
| Speciality | General Practice |
| Location | 301 W 2nd St, Jamesport, Missouri |
| Authorized Official Name and Position | Gary W Jordan (CEO) |
| Authorized Official Contact | 6603585700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wright Memorial Jamesport Clinic 189 Iowa Blvd Trenton MO 64683-8343 Ph: (660) 358-5750 | Wright Memorial Jamesport Clinic 301 W 2nd St Jamesport MO 64648-8208 Ph: (660) 684-6244 |
| NPI Number | 1831202431 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 05/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831202431 | NPI | - | NPPES |
| 508190006 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | DOR9350 (Missouri) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 99778 (Missouri) | Secondary |
Jamesport Outreach Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 409 W Auberry Grv, Jamesport, MO 64648 Phone: 660-684-6252 Fax: 660-684-6254 |