Bouse Medical Clinic is a medicare enrolled primary clinic (Clinic/center) in Bouse, Arizona. The current practice location for Bouse Medical Clinic is 44031 E Plumosa Road, Bouse, Arizona. For appointments, you can reach them via phone at
(928) 669-8512. The mailing address for Bouse Medical Clinic is 1200 W Mohave Rd, Parker, Arizona and phone number is (928) 669-9201.
Bouse Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1235154147. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(928) 669-8512.
Primary Care Clinic Profile
| Full Name | Bouse Medical Clinic |
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| Speciality | Clinic/Center |
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| Location | 44031 E Plumosa Road, Bouse, Arizona |
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| Authorized Official Name and Position | Kevin Brown (CEO) |
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| Authorized Official Contact | 9286697300 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Bouse Medical Clinic
1200 W Mohave Rd
Parker
AZ 85344-6349
Ph: (928) 669-9201 | Bouse Medical Clinic
44031 E Plumosa Road
Bouse
AZ 85325
Ph: (928) 669-8512 |
NPI Details:
| NPI Number | 1235154147 |
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| Provider Enumeration Date | 07/12/2006 |
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| Last Update Date | 06/06/2017 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1557273356 |
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| Medicare Enrollment ID | O20080618000378 |
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Medical Identifiers
Medical identifiers for Bouse Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235154147 | NPI | - | NPPES |
| CG7880 | Other | AZ | MEDICARE RR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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