| Jesse D Helton | |
|
100 Osage Executive Cir House Springs MO 63051-1382 | |
| (636) 677-9977 | |
| (636) 677-9179 |
| Full Name | Jesse D Helton |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 100 Osage Executive Cir, House Springs, Missouri |
| Authorized Official Name and Position | Jesse Dwayne Helton (OWNER) |
| Authorized Official Contact | 6366779977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse D Helton 100 Osage Executive Cir House Springs MO 63051-1382 Ph: (636) 677-9977 | Jesse D Helton 100 Osage Executive Cir House Springs MO 63051-1382 Ph: (636) 677-9977 |
| NPI Number | 1235103003 |
|---|---|
| Provider Enumeration Date | 02/16/2006 |
| Last Update Date | 08/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235103003 | NPI | - | NPPES |
| 504043001 | Medicaid | MO | |
| 26D0975596 | Other | MO | CLIA |
| 595379306 | Medicaid | MO |
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