| Doctors Clinic | |
|
106 West 12th St Caruthersville MO 63830 | |
| (573) 359-1782 | |
| (573) 333-4665 |
| Full Name | Doctors Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 106 West 12th St, Caruthersville, Missouri |
| Authorized Official Name and Position | Joan White-wagoner (CEO) |
| Authorized Official Contact | 5733593612 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Clinic 946 E Reed St P O Box 489 Hayti MO 63851-1243 Ph: (573) 359-3612 | Doctors Clinic 106 West 12th St Caruthersville MO 63830 Ph: (573) 359-1782 |
| NPI Number | 1437251634 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 09/27/2023 |
| Medicare PECOS PAC ID | 8426024159 |
|---|---|
| Medicare Enrollment ID | O20071204000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437251634 | NPI | - | NPPES |
| 594778409 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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