| Richland Medical Center, Inc. | |
| 
					112 S Pine St Eldon MO 65026-1581  | |
| (573) 765-5131 | |
| (573) 765-3122 | 
| Full Name | Richland Medical Center, Inc. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 112 S Pine St, Eldon, Missouri | 
| Authorized Official Name and Position | Kelly Miller (CEO) | 
| Authorized Official Contact | 5738367071 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Richland Medical Center, Inc. Po Box 777 Richland MO 65556-0777 Ph: (573) 765-5131  | Richland Medical Center, Inc. 112 S Pine St Eldon MO 65026-1581 Ph: (573) 765-5131  | 
| NPI Number | 1215436522 | 
|---|---|
| Provider Enumeration Date | 02/02/2018 | 
| Last Update Date | 02/03/2022 | 
| Medicare PECOS PAC ID | 2062554025 | 
|---|---|
| Medicare Enrollment ID | O20220217001880 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215436522 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary | 
Malcolm J. Dickerson, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 W 4th St, Eldon, MO 65026 Phone: 573-392-9200 Fax: 573-392-4626  | |
Lake Regional Health System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 304a E 4th St, Eldon, MO 65026 Phone: 573-392-5654 Fax: 573-392-5692  | |
Eldon Family Chiropractic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N Business Highway 54 E Ste D, Eldon, MO 65026 Phone: 573-286-2638  | |
Ssm Regional Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1112 E North St, Eldon, MO 65026 Phone: 573-392-3767 Fax: 573-392-1976  |