| Hamlin Medical Innovations Llc | |
|
1001 W Daugherty St Webb City MO 64870-1717 | |
| (417) 717-2017 | |
| (417) 717-2134 |
| Full Name | Hamlin Medical Innovations Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1001 W Daugherty St, Webb City, Missouri |
| Authorized Official Name and Position | Justin Hamlin (OWNER) |
| Authorized Official Contact | 4177172017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamlin Medical Innovations Llc 6031 South Main Street Rd #334 Webb City MO 64870-1717 Ph: (417) 548-3334 | Hamlin Medical Innovations Llc 1001 W Daugherty St Webb City MO 64870-1717 Ph: (417) 717-2017 |
| NPI Number | 1225682529 |
|---|---|
| Provider Enumeration Date | 07/25/2019 |
| Last Update Date | 07/08/2021 |
| Medicare PECOS PAC ID | 0941539738 |
|---|---|
| Medicare Enrollment ID | O20190903003239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225682529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Justin Keith Hamlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174883607 PECOS PAC ID: 5991935355 Enrollment ID: I20160623000177 |
Forever Young Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6055 N Main Street Rd, Webb City, MO 64870 Phone: 417-206-0900 Fax: 417-206-0907 |