| Northeast Missouri Family Health Clinic | |
|
52334 Business Highway 5 Milan MO 63556-3040 | |
| (660) 265-1042 | |
| (660) 265-1043 |
| Full Name | Northeast Missouri Family Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 52334 Business Highway 5, Milan, Missouri |
| Authorized Official Name and Position | Andrew H. Grimm (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6606275757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Missouri Family Health Clinic 1416 Crown Dr Kirksville MO 63501-2548 Ph: (660) 627-5757 | Northeast Missouri Family Health Clinic 52334 Business Highway 5 Milan MO 63556-3040 Ph: (660) 265-1042 |
| NPI Number | 1144366154 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 06/24/2011 |
| Medicare PECOS PAC ID | 1658280805 |
|---|---|
| Medicare Enrollment ID | O20030319000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144366154 | NPI | - | NPPES |
| 503351850 | Medicaid | MO |
Sullivan County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 630 W 3rd St, Milan, MO 63556 Phone: 660-265-4212 Fax: 660-265-4898 | |
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