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301 W Martin St Cairo MO 65239-1006 | |
(573) 603-1460 | |
(573) 603-1462 |
Full Name | |
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Speciality | Clinic/Center |
Location | 301 W Martin St, Cairo, Missouri |
Authorized Official Name and Position | Mark Conover (CHIEF REVENUE OFFICER) |
Authorized Official Contact | 5733530014 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1601 Old South River Rd Saint Charles MO 63303-4120 Ph: (636) 224-1210 | 301 W Martin St Cairo MO 65239-1006 Ph: (573) 603-1460 |
NPI Number | 1063978013 |
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Provider Enumeration Date | 02/14/2019 |
Last Update Date | 06/07/2022 |
Medicare PECOS PAC ID | 0244256246 |
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Medicare Enrollment ID | O20200115000077 |
Identifier | Type | State | Issuer |
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1063978013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |