| Moch Wellness Center | |
|
603 Nw 10th Ave. Ava MO 65608 | |
| (417) 683-5739 | |
| (417) 683-1602 |
| Full Name | Moch Wellness Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 603 Nw 10th Ave., Ava, Missouri |
| Authorized Official Name and Position | Jennifer Heinlein (HR) |
| Authorized Official Contact | 4176834831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moch Wellness Center Po Box 1359 Ava MO 65608-1359 Ph: (417) 683-5739 | Moch Wellness Center 603 Nw 10th Ave. Ava MO 65608 Ph: (417) 683-5739 |
| NPI Number | 1972812592 |
|---|---|
| Provider Enumeration Date | 09/30/2010 |
| Last Update Date | 09/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972812592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1999135384 (Missouri) | Primary |
Price Conflict Resolution & Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 Lyle St, Ava, MO 65608 Phone: 417-686-0612 | |
Douglas County Public Health Services Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 E. Main Ave., Ava, MO 65608 Phone: 417-683-5739 |