| Unbound Horizon Outpatient Service Llc | |
|
2929 S Grand Ave Carthage MO 64836-7803 | |
| (417) 540-4915 | |
| Not Available |
| Full Name | Unbound Horizon Outpatient Service Llc |
|---|---|
| Speciality | Physician Assistant |
| Location | 2929 S Grand Ave, Carthage, Missouri |
| Authorized Official Name and Position | Asefa Gebre (OWNER) |
| Authorized Official Contact | 4175404915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unbound Horizon Outpatient Service Llc 2929 S Grand Ave Carthage MO 64836-7803 Ph: (417) 540-4915 | Unbound Horizon Outpatient Service Llc 2929 S Grand Ave Carthage MO 64836-7803 Ph: (417) 540-4915 |
| NPI Number | 1003775792 |
|---|---|
| Provider Enumeration Date | 01/19/2026 |
| Last Update Date | 05/15/2026 |
| Certification Date | 05/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003775792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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