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608 City Route 66 St. Robert MO 65584 | |
(573) 336-5100 | |
(573) 336-3118 |
Full Name | |
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Speciality | Clinic/Center |
Location | 608 City Route 66, St. Robert, Missouri |
Authorized Official Name and Position | William Roberts (CFO) |
Authorized Official Contact | 4178207363 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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608 Old Route 66 Saint Robert MO 65584-3730 Ph: (573) 336-5100 | 608 City Route 66 St. Robert MO 65584 Ph: (573) 336-5100 |
NPI Number | 1770616781 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 10/30/2023 |
Medicare PECOS PAC ID | 7416865845 |
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Medicare Enrollment ID | O20040614000920 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770616781 | NPI | - | NPPES |
593363005 | Medicaid | MO |
South Central Missouri Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 165 Park Drive, St. Robert, MO 65584 Phone: 573-426-2407 |