| Infinity Health | |
|
606 W Main St Princeton MO 64673-1140 | |
| (660) 748-3022 | |
| (515) 608-4592 |
| Full Name | Infinity Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 606 W Main St, Princeton, Missouri |
| Authorized Official Name and Position | Samantha Cannon (CEO) |
| Authorized Official Contact | 6414462383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Health 302 Ne 14th St Leon IA 50144-1206 Ph: (641) 446-2383 | Infinity Health 606 W Main St Princeton MO 64673-1140 Ph: (660) 748-3022 |
| NPI Number | 1366949877 |
|---|---|
| Provider Enumeration Date | 04/11/2018 |
| Last Update Date | 02/11/2022 |
| Medicare PECOS PAC ID | 5597717496 |
|---|---|
| Medicare Enrollment ID | O20180802000408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366949877 | NPI | - | NPPES |
| 0462887 | Medicaid | IA | |
| 507202208 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Tammy Hart, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Fullerton St, Princeton, MO 64673 Phone: 660-748-4040 Fax: 660-748-4042 | |
Saint Luke's Hospital Of Trenton Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 N Fullerton St, Princeton, MO 64673 Phone: 660-748-4042 |