| Peoples Shaw Llc | |
|
101 N Center St Clarence MO 63437-1701 | |
| (660) 699-2240 | |
| (660) 699-2243 |
| Full Name | Peoples Shaw Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 N Center St, Clarence, Missouri |
| Authorized Official Name and Position | Allison Peoples Shaw (FAMILY NURSE PRACTITIONER- OWNER) |
| Authorized Official Contact | 6606511391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peoples Shaw Llc 113 E Highway 151 Leonard MO 63451-1024 Ph: (660) 762-4291 | Peoples Shaw Llc 101 N Center St Clarence MO 63437-1701 Ph: (660) 699-2240 |
| NPI Number | 1053877399 |
|---|---|
| Provider Enumeration Date | 02/12/2019 |
| Last Update Date | 02/12/2019 |
| Medicare PECOS PAC ID | 8820339286 |
|---|---|
| Medicare Enrollment ID | O20190411001742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053877399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Allison Peoples Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609341502 PECOS PAC ID: 0446597520 Enrollment ID: I20190128001947 |
| Provider Name | Ashley Marie Lanpher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245828714 PECOS PAC ID: 5597167502 Enrollment ID: I20210714000512 |
Creative Enterprises Of Clarence Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Center St, Clarence, MO 63437 Phone: 660-699-2240 Fax: 660-699-2243 |