| Regional Health Care Clinic, Inc. | |
| 
					41569 Ivy Bend Rd Stover MO 65078-2177  | |
| (877) 733-5824 | |
| (888) 979-8868 | 
| Full Name | Regional Health Care Clinic, Inc. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 41569 Ivy Bend Rd, Stover, Missouri | 
| Authorized Official Name and Position | Michael Waller (CEO) | 
| Authorized Official Contact | 6608264774 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Regional Health Care Clinic, Inc. 821 Westwood Dr Sedalia MO 65301-2102 Ph: (660) 826-4774  | Regional Health Care Clinic, Inc. 41569 Ivy Bend Rd Stover MO 65078-2177 Ph: (877) 733-5824  | 
| NPI Number | 1942841903 | 
|---|---|
| Provider Enumeration Date | 10/01/2019 | 
| Last Update Date | 02/21/2024 | 
| Medicare PECOS PAC ID | 8224926092 | 
|---|---|
| Medicare Enrollment ID | O20200513001649 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942841903 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary | 
Capital Region Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2nd Street And Oak, Stover, MO 65078 Phone: 573-377-2313 Fax: 573-377-4243  | |
Regional Health Care Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 N Oak St, Stover, MO 65078 Phone: 573-377-4295 Fax: 660-827-8992  | |
Regional Health Care Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 N Oak St, Stover, MO 65078 Phone: 573-377-4295 Fax: 660-826-1300  |