| Mansfield Clinic, Inc. | |
|
120 Sw 2nd Avenue Ava MO 65608 | |
| (417) 683-6790 | |
| (417) 683-6770 |
| Full Name | Mansfield Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Sw 2nd Avenue, Ava, Missouri |
| Authorized Official Name and Position | Kenneth H Dugan (VICE PRESIDENT) |
| Authorized Official Contact | 4179243066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansfield Clinic, Inc. Po Box 108 Mansfield MO 65704-0108 Ph: (417) 924-3066 | Mansfield Clinic, Inc. 120 Sw 2nd Avenue Ava MO 65608 Ph: (417) 683-6790 |
| NPI Number | 1285687509 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 04/21/2011 |
| Medicare PECOS PAC ID | 3971413360 |
|---|---|
| Medicare Enrollment ID | O20060914000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285687509 | NPI | - | NPPES |
| 508809506 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Lester E Cox Medical Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 806 Sw Collins Avenue, Ava, MO 65608 Phone: 417-683-7200 Fax: 417-683-0165 | |
Vnp Contracts Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1613 S Jefferson St Unit B, Ava, MO 65608 Phone: 417-543-4631 | |
Douglas County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Nw 12th St, Building C, Ava, MO 65608 Phone: 417-683-4174 Fax: 417-683-4111 | |
Mercy Clinic Springfield Communities Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1312 North Highway 5, Ava, MO 65608 Phone: 417-683-4045 Fax: 417-683-6069 | |
Douglas County Public Health Services Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Nw 10th Ave, Ava, MO 65608 Phone: 417-683-4831 Fax: 417-683-1602 | |
Douglas County Public Health Services Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 504 Nw 10th Avenue, Ava, MO 65608 Phone: 417-683-4831 Fax: 417-683-1602 |