| Cole Camp Clinic | |
|
1201 E Main Street Cole Camp MO 65325-1256 | |
| (660) 668-4411 | |
| (660) 668-4861 |
| Full Name | Cole Camp Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1201 E Main Street, Cole Camp, Missouri |
| Authorized Official Name and Position | Lori Wightman (CEO) |
| Authorized Official Contact | 6608279481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cole Camp Clinic Po Box 801128 Kansas City MO 64180-1128 Ph: (660) 668-4411 | Cole Camp Clinic 1201 E Main Street Cole Camp MO 65325-1256 Ph: (660) 668-4411 |
| NPI Number | 1497705313 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 04/21/2026 |
| Certification Date | 04/21/2026 |
| Medicare PECOS PAC ID | 6103714126 |
|---|---|
| Medicare Enrollment ID | O20220518001770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497705313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
Katy Trail Community Health Cole Camp R-1 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 S Keeney St, Cole Camp, MO 65325 Phone: 660-668-4427 Fax: 660-827-8992 |