| Palmyra Clinic | |
|
6996 County Road 326 Palmyra MO 63461-3119 | |
| (573) 769-3710 | |
| (573) 769-3753 |
| Full Name | Palmyra Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 6996 County Road 326, Palmyra, Missouri |
| Authorized Official Name and Position | Tim Moore (VP FINANCE / CAO) |
| Authorized Official Contact | 2172238400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmyra Clinic 6996 County Road 326 Palmyra MO 63461-3119 Ph: (573) 769-3710 | Palmyra Clinic 6996 County Road 326 Palmyra MO 63461-3119 Ph: (573) 769-3710 |
| NPI Number | 1548368004 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 11/27/2023 |
| Certification Date | 03/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548368004 | NPI | - | NPPES |
| 151774 | Other | MO | BLUE SHIELD OF MO |
| 505757104 | Other | MO | MEDICAID PROVIDER NUMBER |
| 598783801 | Other | MO | MEDICAID PROVIDER NUMBER |
| DA9532 | Other | IL | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
Blessing Health Palmyra Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6996 County Road 326, Palmyra, MO 63461 Phone: 573-769-3710 Fax: 573-769-3753 |
Hannibal Clinic @ Palmyra Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1811 S Main St, Palmyra, MO 63461 Phone: 573-769-2231 Fax: 573-769-3953 |