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1422 S Sam Houston Blvd Houston MO 65483 | |
| (417) 967-4445 | |
| (417) 967-4453 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1422 S Sam Houston Blvd, Houston, Missouri |
| Authorized Official Name and Position | Stuart G. Stangeland (SENIOR VICE PRESIDENT/COO) |
| Authorized Official Contact | 4178203873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
645 Maryville Centre Dr Fl 3 Saint Louis MO 63141-5855 Ph: (417) 820-7133 | 1422 S Sam Houston Blvd Houston MO 65483 Ph: (417) 967-4445 |
| NPI Number | 1487783296 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 06/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487783296 | NPI | - | NPPES |
| 597932607 | Medicaid | MO |
Hometown Healthcare And Wellness Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E Pine St, Houston, MO 65483 Phone: 417-967-0537 Fax: 417-967-0542 | |
Dale Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1340 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-3755 Fax: 417-967-2630 | |