| Mansfield Clinic, Inc. | |
|
304 West Commercial Street Mansfield MO 65704 | |
| (417) 924-3066 | |
| (417) 924-3925 |
| Full Name | Mansfield Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 304 West Commercial Street, Mansfield, Missouri |
| Authorized Official Name and Position | Kenneth Dugan (VICE PRESIDENT) |
| Authorized Official Contact | 4179243066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansfield Clinic, Inc. Po Box 108 Mansfield MO 65704-0108 Ph: (417) 924-3066 | Mansfield Clinic, Inc. 304 West Commercial Street Mansfield MO 65704 Ph: (417) 924-3066 |
| NPI Number | 1811036791 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 04/03/2012 |
| Medicare PECOS PAC ID | 3971413360 |
|---|---|
| Medicare Enrollment ID | O20030526000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811036791 | NPI | - | NPPES |
| 263940 | Other | MO | RIVERBEND GBA |
| 596020602 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mansfield Chiropractic Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101b N Business 60, Mansfield, MO 65704 Phone: 417-924-3302 Fax: 417-924-8684 | |
Missouri Ozarks Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 804 N Highway 5, Mansfield, MO 65704 Phone: 417-924-8809 Fax: 417-924-8870 |