| Kirksville Missouri Hospital Company Llc | |
|
205 S 5th St Edina MO 63537-1526 | |
| (660) 397-2400 | |
| Not Available |
| Full Name | Kirksville Missouri Hospital Company Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 205 S 5th St, Edina, Missouri |
| Authorized Official Name and Position | Paula M Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6292153953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirksville Missouri Hospital Company Llc Po Box 7972 Belfast ME 04915-7900 Ph: () - | Kirksville Missouri Hospital Company Llc 205 S 5th St Edina MO 63537-1526 Ph: (660) 397-2400 |
| NPI Number | 1346215944 |
|---|---|
| Provider Enumeration Date | 02/17/2006 |
| Last Update Date | 04/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346215944 | NPI | - | NPPES |
| 597774900 | Medicaid | MO | |
| 10294M | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 462-4 (Missouri) | Primary |
Kirksville Missouri Hospital Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 S 5th St, Edina, MO 63537 Phone: 660-397-2100 Fax: 660-297-3292 | |
Scotland County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55682 State Highway 6, Edina, MO 63537 Phone: 660-465-8513 Fax: 660-465-2956 | |
Northeast Missouri Health Council, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 E Jackson St, Edina, MO 63537 Phone: 660-397-3517 Fax: 660-397-2307 | |
Scotland County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55682 State Highway 6 Ste A, Edina, MO 63537 Phone: 660-465-8513 Fax: 660-465-2956 |