| Mcpherson Medical & Diagnostic, Llc | |
| 
					100 N Main St Gideon MO 63848  | |
| (573) 448-3800 | |
| (573) 448-8909 | 
| Full Name | Mcpherson Medical & Diagnostic, Llc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 100 N Main St, Gideon, Missouri | 
| Authorized Official Name and Position | Timothy William Mcpherson (OWNER) | 
| Authorized Official Contact | 5736952181 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mcpherson Medical & Diagnostic, Llc 901 W Commercial St Kennett MO 63857-1100 Ph: (573) 717-1072  | Mcpherson Medical & Diagnostic, Llc 100 N Main St Gideon MO 63848 Ph: (573) 448-3800  | 
| NPI Number | 1457099046 | 
|---|---|
| Provider Enumeration Date | 05/24/2022 | 
| Last Update Date | 06/01/2022 | 
| Medicare PECOS PAC ID | 5698773539 | 
|---|---|
| Medicare Enrollment ID | O20220622002578 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1457099046 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary | 
Steele Family Rural Health Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Main Street, Gideon, MO 63848 Phone: 573-448-3800 Fax: 573-448-8909  | |
Pemiscot County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Main Street, Gideon, MO 63848 Phone: 573-448-3800 Fax: 573-448-8909  | |
Steele Family Rural Health Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 South Main, Gideon, MO 63848 Phone: 573-448-3800 Fax: 573-448-8909  | |
Mcpherson Medical & Diagnostic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N Main St, Gideon, MO 63848 Phone: 573-448-3800  |