| Mt Vernon Family Health Care | |
|
624 E Mount Vernon Blvd Mount Vernon MO 65712-9100 | |
| (417) 269-2460 | |
| (417) 269-2462 |
| Full Name | Mt Vernon Family Health Care |
|---|---|
| Speciality | Family Medicine |
| Location | 624 E Mount Vernon Blvd, Mount Vernon, Missouri |
| Authorized Official Name and Position | David P Taylor (VICE PRESIDENT) |
| Authorized Official Contact | 4172696262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Vernon Family Health Care 3800 S National Ave Ste 540 Springfield MO 65807-5209 Ph: (417) 269-5712 | Mt Vernon Family Health Care 624 E Mount Vernon Blvd Mount Vernon MO 65712-9100 Ph: (417) 269-2460 |
| NPI Number | 1407021314 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407021314 | NPI | - | NPPES |
| 508603909 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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