| Northwest Missouri State University | |
|
800 University Drive Maryville MO 64468 | |
| (660) 562-1348 | |
| (660) 562-1585 |
| Full Name | Northwest Missouri State University |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 University Drive, Maryville, Missouri |
| Authorized Official Name and Position | Susan Watson (MEDICAL DIRECTOR / PHYSICIAN) |
| Authorized Official Contact | 6605621348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Missouri State University 800 University Drive Maryville MO 64468 Ph: (660) 562-1348 | Northwest Missouri State University 800 University Drive Maryville MO 64468 Ph: (660) 562-1348 |
| NPI Number | 1760542567 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 01/26/2023 |
| Medicare PECOS PAC ID | 0446489827 |
|---|---|
| Medicare Enrollment ID | O20140205000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760542567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
| Provider Name | Judy D Frueh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386675783 PECOS PAC ID: 8729081393 Enrollment ID: I20060821000466 |
Northwest Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1503 S Munn Ave, Maryville, MO 64468 Phone: 660-562-3511 Fax: 660-562-4822 | |
Mosaic Medical Center - Maryville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 114 E South Hills Dr, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-4303 | |
Northwest Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 W South Hills Dr, Maryville, MO 64468 Phone: 660-562-3244 Fax: 660-562-4138 | |
Northwest Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 418 E 2nd St, Maryville, MO 64468 Phone: 660-562-3233 Fax: 660-562-2735 | |
Barefoot Chiropractic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1406 N Mulberry St, Maryville, MO 64468 Phone: 660-853-1385 | |
Mosaic Medical Center - Maryville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-526-4303 |