| Creative Enterprises Of Clarence | |
|
101 N Center St Clarence MO 63437-1701 | |
| (660) 699-2240 | |
| (660) 699-2243 |
| Full Name | Creative Enterprises Of Clarence |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 101 N Center St, Clarence, Missouri |
| Authorized Official Name and Position | John D Timmons (OWNER) |
| Authorized Official Contact | 6606516961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Enterprises Of Clarence 210 S Shelby St Clarence MO 63437-2105 Ph: (660) 651-7350 | Creative Enterprises Of Clarence 101 N Center St Clarence MO 63437-1701 Ph: (660) 699-2240 |
| NPI Number | 1598017550 |
|---|---|
| Provider Enumeration Date | 10/15/2012 |
| Last Update Date | 10/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598017550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |
Peoples Shaw Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 N Center St, Clarence, MO 63437 Phone: 660-699-2240 Fax: 660-699-2243 |