| Your Optimal Healthcare Llc | |
|
409 W Osage St Pacific MO 63069-1332 | |
| (636) 200-8555 | |
| (636) 200-8560 |
| Full Name | Your Optimal Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 409 W Osage St, Pacific, Missouri |
| Authorized Official Name and Position | Mary Elizabeth Orris (OWNER) |
| Authorized Official Contact | 6362008555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Optimal Healthcare Llc 409 W Osage St Pacific MO 63069-1332 Ph: (636) 200-8555 | Your Optimal Healthcare Llc 409 W Osage St Pacific MO 63069-1332 Ph: (636) 200-8555 |
| NPI Number | 1114483468 |
|---|---|
| Provider Enumeration Date | 02/12/2019 |
| Last Update Date | 10/18/2022 |
| Medicare PECOS PAC ID | 7618210212 |
|---|---|
| Medicare Enrollment ID | O20190523000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114483468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mary Elizabeth Orris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194966572 PECOS PAC ID: 6901942101 Enrollment ID: I20091001000085 |
Patients First Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Noonan Dr, Pacific, MO 63069 Phone: 636-271-9700 Fax: 636-257-6016 | |
Pacific Medcare Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 319 N 1st St, Pacific, MO 63069 Phone: 636-271-3500 Fax: 636-271-9955 |