| Certified On-site Health Care Llc | |
|
805 2nd St Summersville MO 65571-8714 | |
| (417) 932-1130 | |
| (417) 932-1127 |
| Full Name | Certified On-site Health Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 805 2nd St, Summersville, Missouri |
| Authorized Official Name and Position | Natasha B Hawkins (OFFICE MANAGER) |
| Authorized Official Contact | 4179321130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Certified On-site Health Care Llc 805 2nd St Summersville MO 65571-8714 Ph: (417) 932-1130 | Certified On-site Health Care Llc 805 2nd St Summersville MO 65571-8714 Ph: (417) 932-1130 |
| NPI Number | 1023579489 |
|---|---|
| Provider Enumeration Date | 03/28/2019 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 3274875018 |
|---|---|
| Medicare Enrollment ID | O20190524001508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023579489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Pearl Smotherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265822035 PECOS PAC ID: 6608194071 Enrollment ID: I20150415000384 |
Mercy Clinic Family Medicine-summersville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 149 Rogers Ave, Summersville, MO 65571 Phone: 417-932-4119 Fax: 417-932-4838 | |
Mercy Clinic-summersville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 Rogers Ave, Summersville, MO 65571 Phone: 417-932-4119 |