| Missouri Highlands Health Care | |
|
2210 Barron Rd Ste 120 Poplar Bluff MO 63901-1922 | |
| (573) 785-6536 | |
| (573) 785-0345 |
| Full Name | Missouri Highlands Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 2210 Barron Rd Ste 120, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Karen White (CEO) |
| Authorized Official Contact | 5736632313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Highlands Health Care 110 S 2nd St Ellington MO 63638-9400 Ph: (573) 663-2313 | Missouri Highlands Health Care 2210 Barron Rd Ste 120 Poplar Bluff MO 63901-1922 Ph: (573) 785-6536 |
| NPI Number | 1083745475 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 03/28/2024 |
| Medicare PECOS PAC ID | 6709871007 |
|---|---|
| Medicare Enrollment ID | O20070424000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083745475 | NPI | - | NPPES |
| 500217468 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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