| Malden Medical Center | |
|
806 N Douglass St Malden MO 63863-1512 | |
| (573) 276-3873 | |
| Not Available |
| Full Name | Malden Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 806 N Douglass St, Malden, Missouri |
| Authorized Official Name and Position | Paula Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6292153953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Malden Medical Center 806 N Douglass St Malden MO 63863-1512 Ph: (573) 276-3873 | Malden Medical Center 806 N Douglass St Malden MO 63863-1512 Ph: (573) 276-3873 |
| NPI Number | 1801839147 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 04/20/2021 |
| Medicare PECOS PAC ID | 6800707225 |
|---|---|
| Medicare Enrollment ID | O20030829000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801839147 | NPI | - | NPPES |
| 593650005 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Msh Malden Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1707 N Doulgas, Malden, MO 63863 Phone: 573-276-6488 | |
Daeoc Family Planning Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Town Sq, Malden, MO 63863 Phone: 573-276-6090 Fax: 573-276-6108 | |
Southeast Health On Wheels Mobile Van Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 N Douglass St, Malden, MO 63863 Phone: 573-748-7701 Fax: 573-748-2554 | |
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