| Mohigh Family Care Clinic | |
|
3001 Warrior Ln Poplar Bluff MO 63901-8685 | |
| (573) 785-7453 | |
| (573) 785-7429 |
| Full Name | Mohigh Family Care Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3001 Warrior Ln, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Barbara Davis (BILLING SUPERVISOR) |
| Authorized Official Contact | 5736632313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohigh Family Care Clinic Po Box 157 Ellington MO 63638-0157 Ph: (573) 663-2313 | Mohigh Family Care Clinic 3001 Warrior Ln Poplar Bluff MO 63901-8685 Ph: (573) 785-7453 |
| NPI Number | 1245477579 |
|---|---|
| Provider Enumeration Date | 01/08/2009 |
| Last Update Date | 01/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245477579 | NPI | - | NPPES |
| 000010497 | Other | MO | STATE MEDICARE |
| 1245477579 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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