| Jesse Dwayne Helton | |
|
10649 State Highway A Richwoods MO 63071-2558 | |
| (573) 678-2444 | |
| (573) 678-2445 |
| Full Name | Jesse Dwayne Helton |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 10649 State Highway A, Richwoods, Missouri |
| Authorized Official Name and Position | Jesse Dwayne Helton (OWNER) |
| Authorized Official Contact | 5736782444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Dwayne Helton 10649 State Highway A Po Box 280 Richwoods MO 63071-2558 Ph: (573) 678-2444 | Jesse Dwayne Helton 10649 State Highway A Richwoods MO 63071-2558 Ph: (573) 678-2444 |
| NPI Number | 1033183819 |
|---|---|
| Provider Enumeration Date | 02/16/2006 |
| Last Update Date | 08/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033183819 | NPI | - | NPPES |
| 26D1024953 | Other | MO | CLIA |
| 506296607 | Medicaid | MO | |
| 595379314 | Medicaid | MO |
Great Mines Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10788 State Highway A Rm 128, Richwoods, MO 63071 Phone: 573-438-9355 Fax: 573-438-7892 |