Your Community Health Center | |
701 Wolfpride Dr Newburg MO 65550-7824 | |
(573) 426-6712 | |
(573) 426-6735 |
Full Name | Your Community Health Center |
---|---|
Speciality | Family Medicine |
Location | 701 Wolfpride Dr, Newburg, Missouri |
Authorized Official Name and Position | Kelly Miller (CEO) |
Authorized Official Contact | 5734266712 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Your Community Health Center 1081 E 18th St Rolla MO 65401-2448 Ph: (573) 426-6712 | Your Community Health Center 701 Wolfpride Dr Newburg MO 65550-7824 Ph: (573) 426-6712 |
NPI Number | 1982130118 |
---|---|
Provider Enumeration Date | 05/09/2017 |
Last Update Date | 05/09/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982130118 | NPI | - | NPPES |
1164669172 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |