| Och Jasper County Clinic Carthage Campus | |
|
327 E Airport Dr Carthage MO 64836-3402 | |
| (417) 237-0604 | |
| (417) 237-0613 |
| Full Name | Och Jasper County Clinic Carthage Campus |
|---|---|
| Speciality | Clinic/Center |
| Location | 327 E Airport Dr, Carthage, Missouri |
| Authorized Official Name and Position | Paul G Taylor (CEO) |
| Authorized Official Contact | 4178374090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Och Jasper County Clinic Carthage Campus 327 E Airport Dr Carthage MO 64836-3402 Ph: (417) 237-0604 | Och Jasper County Clinic Carthage Campus 327 E Airport Dr Carthage MO 64836-3402 Ph: (417) 237-0604 |
| NPI Number | 1104229186 |
|---|---|
| Provider Enumeration Date | 10/03/2014 |
| Last Update Date | 10/03/2014 |
| Medicare PECOS PAC ID | 5092616276 |
|---|---|
| Medicare Enrollment ID | O20150611002608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104229186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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