Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 518 Pine St, Steelville, Missouri |
Authorized Official Name and Position | Ted Alan Stutzman (COO) |
Authorized Official Contact | 4178209101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1570 W Battlefield St Ste 110 Springfield MO 65807-4163 Ph: (417) 820-7133 | 518 Pine St Steelville MO 65565 Ph: (573) 775-5838 |
NPI Number | 1669504411 |
---|---|
Provider Enumeration Date | 03/09/2007 |
Last Update Date | 01/24/2022 |
Medicare PECOS PAC ID | 7416865845 |
---|---|
Medicare Enrollment ID | O20040614000165 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669504411 | NPI | - | NPPES |
598171700 | Medicaid | MO |
Mercy Clinic East Communities Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Pine St, Steelville, MO 65565 Phone: 573-775-3335 | |
Patients First Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Pine St, Steelville, MO 65565 Phone: 573-775-3335 Fax: 573-775-3377 | |