| |
400 W Clay Ave Plattsburg MO 64477-1424 | |
(816) 539-2117 | |
(816) 539-3301 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 400 W Clay Ave, Plattsburg, Missouri |
Authorized Official Name and Position | Sheila Kay Feekes (CLINIC MANAGER) |
Authorized Official Contact | 8164153460 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
400 W Clay Ave Plattsburg MO 64477-1424 Ph: (816) 415-3460 | 400 W Clay Ave Plattsburg MO 64477-1424 Ph: (816) 539-2117 |
NPI Number | 1376568121 |
---|---|
Provider Enumeration Date | 07/13/2006 |
Last Update Date | 03/03/2021 |
Medicare PECOS PAC ID | 6103877360 |
---|---|
Medicare Enrollment ID | O20100323000421 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376568121 | NPI | - | NPPES |
595949900 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
New Liberty Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W Clay Ave, Plattsburg, MO 64477 Phone: 816-415-3460 Fax: 816-415-3461 | |
New Liberty Hospital Coporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W Clay Ave, Plattsburg, MO 64477 Phone: 816-415-3460 | |