| Dexter Hospital Llc | |
|
1003 Highway 25 North Bloomfield MO 63825 | |
| (573) 568-3686 | |
| Not Available |
| Full Name | Dexter Hospital Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1003 Highway 25 North, Bloomfield, Missouri |
| Authorized Official Name and Position | Sue Ann Williams (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 5736241640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dexter Hospital Llc Po Box 368 Dexter MO 63841 Ph: (573) 624-3165 | Dexter Hospital Llc 1003 Highway 25 North Bloomfield MO 63825 Ph: (573) 568-3686 |
| NPI Number | 1326108226 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 04/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326108226 | NPI | - | NPPES |
| DC5318 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Missouri) | Primary |
Poplar Bluff Regional Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 South Prairie Street, Bloomfield, MO 63825 Phone: 573-568-3838 Fax: 573-568-4212 | |
Poplar Bluff Regional Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S. Prairie, Bloomfield, MO 63825 Phone: 573-568-3838 | |
Southeast Health Center Of Stoddard County Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1003 State Hwy 25 North, Bloomfield, MO 63825 Phone: 573-568-3686 |