| Family Health Center | |
|
1001 W Worley St Columbia MO 65203-2037 | |
| (573) 214-2314 | |
| (573) 607-2885 |
| Full Name | Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1001 W Worley St, Columbia, Missouri |
| Authorized Official Name and Position | Teresa L Porter (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6608908156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center 1800 Community Clinton MO 64735-8804 Ph: (660) 885-8131 | Family Health Center 1001 W Worley St Columbia MO 65203-2037 Ph: (573) 214-2314 |
| NPI Number | 1689646143 |
|---|---|
| Provider Enumeration Date | 02/07/2006 |
| Last Update Date | 10/01/2020 |
| Medicare PECOS PAC ID | 0345231478 |
|---|---|
| Medicare Enrollment ID | O20040519000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689646143 | NPI | - | NPPES |
| 503255713 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Erik J Lindbloom |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1598764011 PECOS PAC ID: 1254439268 Enrollment ID: I20070614000056 |
| Provider Name | Amanda Kate Swenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487694436 PECOS PAC ID: 3173678000 Enrollment ID: I20090828000412 |
| Provider Name | Elizabeth A Geden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427058007 PECOS PAC ID: 7719022599 Enrollment ID: I20100304000266 |
| Provider Name | Rick A Bonnette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013993039 PECOS PAC ID: 7113043456 Enrollment ID: I20100924000007 |
| Provider Name | Luanne S Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245491372 PECOS PAC ID: 1759502149 Enrollment ID: I20141029000094 |
| Provider Name | Corey A Koch |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1770870297 PECOS PAC ID: 9931403904 Enrollment ID: I20160211001547 |
| Provider Name | Shoeleh Navab-hamidi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1437150810 PECOS PAC ID: 3375847494 Enrollment ID: I20160223000657 |
| Provider Name | Sujatha Sivaraman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1477543932 PECOS PAC ID: 5597061002 Enrollment ID: I20160315002173 |
| Provider Name | Susan T Lance |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1134243256 PECOS PAC ID: 0042587446 Enrollment ID: I20170606000278 |
| Provider Name | Theresa Marie Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457860819 PECOS PAC ID: 6507131240 Enrollment ID: I20171006000264 |
| Provider Name | Christina Gardner |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1306204862 PECOS PAC ID: 4082989488 Enrollment ID: I20171011002543 |
| Provider Name | Krystal Rose Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447631858 PECOS PAC ID: 7113239823 Enrollment ID: I20180905003145 |
| Provider Name | Emily D Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649744079 PECOS PAC ID: 0244567303 Enrollment ID: I20190812003477 |
| Provider Name | Nancy Jane Forgy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225690019 PECOS PAC ID: 8921338617 Enrollment ID: I20190923002585 |
Columbia Family Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 N Keene St, Suite 301, Columbia, MO 65201 Phone: 573-449-0808 Fax: 573-442-1331 | |
Sme Virginia Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5728 Pergola Dr Apt 207, Columbia, MO 65201 Phone: 678-977-5507 | |
University Physicians Specialty Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 W Broadway, Columbia, MO 65203 Phone: 573-884-7701 | |
Sme Utah, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5728 Pergola Dr Apt 207, Columbia, MO 65201 Phone: 678-977-5507 | |
Sme Idaho P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5728 Pergola Dr Apt 207, Columbia, MO 65201 Phone: 678-977-5507 | |
Nephrology And Hypertension Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1205 W Broadway, Columbia, MO 65203 Phone: 573-499-0642 Fax: 573-449-1787 | |
Family Dental Center Columbia East Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2475 Broadway Bluffs Dr, Suite 200, Columbia, MO 65201 Phone: 573-777-9282 Fax: 573-777-9569 |