| Maysville Family Health Clinic | |
|
1007 S Polk St Maysville MO 64469-4030 | |
| (816) 449-2123 | |
| (816) 449-2125 |
| Full Name | Maysville Family Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1007 S Polk St, Maysville, Missouri |
| Authorized Official Name and Position | Joseph F Abrutz (ADMINISTRATOR) |
| Authorized Official Contact | 8166322101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maysville Family Health Clinic 1600 E Evergreen St Cameron MO 64429-2400 Ph: (816) 632-2101 | Maysville Family Health Clinic 1007 S Polk St Maysville MO 64469-4030 Ph: (816) 449-2123 |
| NPI Number | 1093188807 |
|---|---|
| Provider Enumeration Date | 11/03/2015 |
| Last Update Date | 08/26/2016 |
| Medicare PECOS PAC ID | 5092622001 |
|---|---|
| Medicare Enrollment ID | O20160210000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093188807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 473-13 (Missouri) | Primary |
Dekalb Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 S Polk St, Maysville, MO 64469 Phone: 816-449-2123 Fax: 816-449-2125 |