| Family Medicine Of Southeast Missouri, Llc | |
|
808 E Wakefield Ave Sikeston MO 63801-5147 | |
| (573) 620-6444 | |
| Not Available |
| Full Name | Family Medicine Of Southeast Missouri, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 808 E Wakefield Ave, Sikeston, Missouri |
| Authorized Official Name and Position | Vicki Jane Roberts (OWNER) |
| Authorized Official Contact | 5736206444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Southeast Missouri, Llc 808 E. Wakefield Avenue Family Medcine Of Southeast Missouri Sikeston MO 63801-5100 Ph: (573) 620-6444 | Family Medicine Of Southeast Missouri, Llc 808 E Wakefield Ave Sikeston MO 63801-5147 Ph: (573) 620-6444 |
| NPI Number | 1619145612 |
|---|---|
| Provider Enumeration Date | 02/13/2008 |
| Last Update Date | 09/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619145612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 2005013758 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Missouri Delta Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1013 North Main, Sikeston, MO 63801 Phone: 573-472-7535 Fax: 573-472-7787 | |
Managed Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 Hunter, Suite 4, Sikeston, MO 63801 Phone: 573-471-2905 | |
Southeast Missouri Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Southland Dr, Sikeston, MO 63801 Phone: 573-472-1770 Fax: 573-472-4050 | |
Missouri Delta Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 Hospitality Dr, Sikeston, MO 63801 Phone: 573-471-0200 Fax: 573-471-7559 | |
Missouri Delta Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 123 Smith Ave, Sikeston, MO 63801 Phone: 573-471-0200 | |
Missouri Delta Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 N Main St, Sikeston, MO 63801 Phone: 573-471-1600 Fax: 573-472-7740 | |
Ferguson Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-471-0330 Fax: 573-472-2966 |