| Family Walk In Clinic Of Mountain Grove Inc | |
|
205 W 3rd St Ste 3 Mountain Grove MO 65711-1600 | |
| (417) 926-3743 | |
| (417) 926-7625 |
| Full Name | Family Walk In Clinic Of Mountain Grove Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 205 W 3rd St Ste 3, Mountain Grove, Missouri |
| Authorized Official Name and Position | Kenneth H Dugan (VICE-PRESIDENT) |
| Authorized Official Contact | 4179263743 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Walk In Clinic Of Mountain Grove Inc 205 W 3rd St Ste 3 Mountain Grove MO 65711-1600 Ph: (417) 926-3743 | Family Walk In Clinic Of Mountain Grove Inc 205 W 3rd St Ste 3 Mountain Grove MO 65711-1600 Ph: (417) 926-3743 |
| NPI Number | 1083705529 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 11/12/2014 |
| Medicare PECOS PAC ID | 1052229622 |
|---|---|
| Medicare Enrollment ID | O20021022000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083705529 | NPI | - | NPPES |
| 263939 | Other | MO | RIVERBEND |
| 596020800 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mountain Grove Medical And Laser Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 N Busch Ave, Mountain Grove, MO 65711 Phone: 417-926-6643 Fax: 417-926-6317 | |
Texas County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1905 West 19th Street, Mountain Grove, MO 65711 Phone: 417-926-1770 Fax: 417-926-1785 | |
Texas County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1905 West 19th Street, Mountain Grove, MO 65711 Phone: 417-926-1770 Fax: 417-926-1785 | |
Ozarks Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 E 19th St, Mountain Grove, MO 65711 Phone: 417-926-6563 Fax: 417-926-5820 | |
Mercy Clinic Springfield Communities Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 W 16th St, Mountain Grove, MO 65711 Phone: 417-926-6111 Fax: 417-926-6115 | |
Douglas County Public Health Services Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1604 C. North Main Street, Mountain Grove, MO 65711 Phone: 417-926-1713 Fax: 417-926-1209 |