| Eagleville Medical Clinic | |
|
12050 12th St Eagleville MO 64442-8158 | |
| (816) 632-2101 | |
| Not Available |
| Full Name | Eagleville Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 12050 12th St, Eagleville, Missouri |
| Authorized Official Name and Position | Joseph F Abrutz (ADMINISTRATOR) |
| Authorized Official Contact | 8166493203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagleville Medical Clinic 1600 E Evergreen St Cameron MO 64429-2400 Ph: (816) 632-2101 | Eagleville Medical Clinic 12050 12th St Eagleville MO 64442-8158 Ph: (816) 632-2101 |
| NPI Number | 1659700813 |
|---|---|
| Provider Enumeration Date | 11/07/2013 |
| Last Update Date | 11/07/2013 |
| Medicare PECOS PAC ID | 5092622001 |
|---|---|
| Medicare Enrollment ID | O20131205001860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659700813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 473-11 (Missouri) | Primary |
North Harrison Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16027 Locust Street, Eagleville, MO 64442 Phone: 660-867-5111 Fax: 660-867-3111 |