| Laurie A Beach | |
|
212 College St Pilot Grove MO 65276-1005 | |
| (660) 834-5100 | |
| (660) 834-5101 |
| Full Name | Laurie A Beach |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 212 College St, Pilot Grove, Missouri |
| Authorized Official Name and Position | Laurie A Beach (OWNER) |
| Authorized Official Contact | 6608345100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie A Beach Po Box 817 Cape Girardeau MO 63702-0817 Ph: (573) 335-4715 | Laurie A Beach 212 College St Pilot Grove MO 65276-1005 Ph: (660) 834-5100 |
| NPI Number | 1780808675 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 02/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780808675 | NPI | - | NPPES |
| 000014600 | Other | MO | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
John Fitzgibbon Memorial Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 College St, Pilot Grove, MO 65276 Phone: 660-831-3728 | |
Laurie A Beach Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 College St, Pilot Grove, MO 65276 Phone: 660-834-5100 Fax: 660-834-5101 |