| Caruthersville Clinic | |
|
412 Ward Ave Caruthersville MO 63830-1451 | |
| (579) 333-0033 | |
| (573) 333-2522 |
| Full Name | Caruthersville Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 412 Ward Ave, Caruthersville, Missouri |
| Authorized Official Name and Position | Amy D Ledbetter (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5736514488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caruthersville Clinic Po Box 881 Caruthersville MO 63830-0881 Ph: (579) 333-0033 | Caruthersville Clinic 412 Ward Ave Caruthersville MO 63830-1451 Ph: (579) 333-0033 |
| NPI Number | 1487829222 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487829222 | NPI | - | NPPES |
| 507402907 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Missouri Delta Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 W 12th St, Caruthersville, MO 63830 Phone: 573-575-4181 Fax: 573-575-4180 | |
Pemiscot County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 West 12th St, Caruthersville, MO 63830 Phone: 573-359-1782 Fax: 573-333-4665 | |
Douglas Fitzwater Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Ward Ave, Caruthersville, MO 63830 Phone: 573-333-0033 Fax: 573-333-2522 | |
Wt Regional Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 W 15th Street, Caruthersville, MO 63830 Phone: 731-512-1277 | |
Wt Regional Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 W 15th St, Caruthersville, MO 63830 Phone: 573-333-0033 Fax: 573-333-2522 | |
Southeast Missouri Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Caruthersville Medical Center, 109 East 5th Street, Caruthersville, MO 63830 Phone: 573-359-9803 Fax: 573-359-0990 |