| Quincy Medical Group Kahoka Affiliate | |
|
133 E Main St Kahoka MO 63445-1775 | |
| (660) 727-3388 | |
| (660) 727-2196 |
| Full Name | Quincy Medical Group Kahoka Affiliate |
|---|---|
| Speciality | Clinic/Center |
| Location | 133 E Main St, Kahoka, Missouri |
| Authorized Official Name and Position | Patty Woerman (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2172226550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quincy Medical Group Kahoka Affiliate 1025 Maine St Quincy IL 62301-4096 Ph: (217) 222-6550 | Quincy Medical Group Kahoka Affiliate 133 E Main St Kahoka MO 63445-1775 Ph: (660) 727-3388 |
| NPI Number | 1205402195 |
|---|---|
| Provider Enumeration Date | 06/01/2021 |
| Last Update Date | 12/20/2021 |
| Medicare PECOS PAC ID | 0749192375 |
|---|---|
| Medicare Enrollment ID | O20210722000907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205402195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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