| 180 Health Lifestyle Wellness Centers | |
|
1936 S Glenstone Ave Springfield MO 65804-2305 | |
| (417) 827-0450 | |
| Not Available |
| Full Name | 180 Health Lifestyle Wellness Centers |
|---|---|
| Speciality | General Practice |
| Location | 1936 S Glenstone Ave, Springfield, Missouri |
| Authorized Official Name and Position | Tara Meek (OWNER) |
| Authorized Official Contact | 4178870340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 180 Health Lifestyle Wellness Centers 1936 S Glenstone Ave Springfield MO 65804-2305 Ph: (417) 827-0450 | 180 Health Lifestyle Wellness Centers 1936 S Glenstone Ave Springfield MO 65804-2305 Ph: (417) 827-0450 |
| NPI Number | 1649815796 |
|---|---|
| Provider Enumeration Date | 11/13/2019 |
| Last Update Date | 07/28/2020 |
| Medicare PECOS PAC ID | 1052747888 |
|---|---|
| Medicare Enrollment ID | O20200214000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649815796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Rebecca L Pearson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962585885 PECOS PAC ID: 4880667898 Enrollment ID: I20040818000013 |
| Provider Name | Gary L Meek |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396726568 PECOS PAC ID: 5799705786 Enrollment ID: I20051206000444 |
| Provider Name | Richard D Purcell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881689933 PECOS PAC ID: 7214939784 Enrollment ID: I20070213000212 |
| Provider Name | Jeffrey D Steinle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235166455 PECOS PAC ID: 9830356344 Enrollment ID: I20120210000018 |
| Provider Name | Anjuli N Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801209234 PECOS PAC ID: 1557588233 Enrollment ID: I20140805000841 |
| Provider Name | Blake E Mcgrath |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770020844 PECOS PAC ID: 5991088056 Enrollment ID: I20170215001705 |
| Provider Name | Timothy J Zackery |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881282010 PECOS PAC ID: 3577976554 Enrollment ID: I20210112001961 |
| Provider Name | Samuel Hamilton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043096092 PECOS PAC ID: 8729436662 Enrollment ID: I20231202000246 |
| Provider Name | Preston Burgess |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184441172 PECOS PAC ID: 1153853148 Enrollment ID: I20241015004064 |
James M. Carmichael, Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3108 S Fremont Ave, Springfield, MO 65804 Phone: 417-886-4910 Fax: 417-886-4910 | |
Regional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3525 S National Ave, #307, Springfield, MO 65807 Phone: 417-269-9220 Fax: 417-269-9229 | |
Lester E. Cox Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3800 S National Ave, #600, Springfield, MO 65807 Phone: 417-269-1499 Fax: 417-269-1459 | |
Regional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1423 N Jefferson Ave, #k-100, Springfield, MO 65802 Phone: 417-269-3915 Fax: 417-269-3913 | |
Mercy Clinic Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 Fax: 417-820-2100 | |
Lester E Cox Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1429 W Sunshine St, Springfield, MO 65807 Phone: 417-269-2240 Fax: 417-269-2245 | |
Advocates For A Healthy Community, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 W Grand St Ste B, Springfield, MO 65802 Phone: 417-831-0150 Fax: 417-831-0155 |