| Dexter Hospital Llc | |
|
1525 W Business Hwy 60 Dexter MO 63841 | |
| (573) 624-8447 | |
| (573) 624-4312 |
| Full Name | Dexter Hospital Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1525 W Business Hwy 60, Dexter, Missouri |
| Authorized Official Name and Position | Sue Ann Williams (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 5736241640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dexter Hospital Llc Po Box 368 Dexter MO 63841-0368 Ph: (573) 624-3165 | Dexter Hospital Llc 1525 W Business Hwy 60 Dexter MO 63841 Ph: (573) 624-8447 |
| NPI Number | 1710056213 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 09/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710056213 | NPI | - | NPPES |
| 504910001 | Medicaid | MO | |
| DC5219 | Other | MO | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Stoddard County Family Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 N One Mile Rd, Dexter, MO 63841 Phone: 573-624-1640 | |
Davis Health & Wellness Clinic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 Speciality Dr Ste A, Dexter, MO 63841 Phone: 573-891-1250 Fax: 573-891-1320 | |
Practice Tee, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1523 W Business Hwy 60, Dexter, MO 63841 Phone: 573-624-8447 | |
Dexter Hospital Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 W Bus Hwy 60, Dexter, MO 63841 Phone: 573-624-7575 Fax: 573-624-6399 | |
Southeast Health Center Of Stoddard County, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2025 W Business Us Highway 60, Dexter, MO 63841 Phone: 573-614-4600 Fax: 573-614-4606 | |
Dexter Hosptial Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 N One Mile Rd, Suite 1, Dexter, MO 63841 Phone: 573-624-7788 | |
Southeast Health Center Of Stoddard County Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 N One Mile Road, Dexter, MO 63841 Phone: 573-614-1900 Fax: 573-624-8895 |