| Hartville Medical Center Inc | |
|
275 S School Ave Hartville MO 65667 | |
| (417) 741-7484 | |
| (417) 741-7482 |
| Full Name | Hartville Medical Center Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 275 S School Ave, Hartville, Missouri |
| Authorized Official Name and Position | William E Berner (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 9898927722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartville Medical Center Inc 275 S School Ave Hartville MO 65667-8406 Ph: (417) 741-7484 | Hartville Medical Center Inc 275 S School Ave Hartville MO 65667 Ph: (417) 741-7484 |
| NPI Number | 1518902352 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 06/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518902352 | NPI | - | NPPES |
| 110115 | Other | MO | BLUE CROSS |
| 31512 | Other | MO | BLUE CROSS |
| 598599504 | Medicaid | MO | |
| 080110949 | Other | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Hartville Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 S School Ave, Hartville, MO 65667 Phone: 417-741-7484 Fax: 417-741-7482 |