| Physician Groups Lc | |
|
1021 E Highway 22 Centralia MO 65240-1183 | |
| (573) 682-5580 | |
| (573) 682-1539 |
| Full Name | Physician Groups Lc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1021 E Highway 22, Centralia, Missouri |
| Authorized Official Name and Position | Karen Canter-koester (VICE PRESIDENT/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3149967610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Groups Lc 1600 E Broadway Columbia MO 65201-5844 Ph: (573) 815-6245 | Physician Groups Lc 1021 E Highway 22 Centralia MO 65240-1183 Ph: (573) 682-5580 |
| NPI Number | 1164615316 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 09/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164615316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Centralia Family Health, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 E Highway 22, Centralia, MO 65240 Phone: 573-682-5588 Fax: 573-682-1539 | |
William W. Bradley, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 N Rollins St, Centralia, MO 65240 Phone: 573-682-2101 Fax: 573-682-2496 | |
Boone Physician Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1021 E Highway 22, Centralia, MO 65240 Phone: 573-682-5588 Fax: 573-682-1539 | |
Audrain Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W Sneed St, Centralia, MO 65240 Phone: 573-682-1330 Fax: 573-682-1936 |