| Richland Medical Center, Inc | |
|
101 12th St Crocker MO 65452-9203 | |
| (877) 406-2662 | |
| (573) 765-3824 |
| Full Name | Richland Medical Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 101 12th St, Crocker, Missouri |
| Authorized Official Name and Position | Kelly Miller (CEO) |
| Authorized Official Contact | 5738367071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richland Medical Center, Inc Po Box 777 Richland MO 65556-0777 Ph: (573) 677-4425 | Richland Medical Center, Inc 101 12th St Crocker MO 65452-9203 Ph: (877) 406-2662 |
| NPI Number | 1457120669 |
|---|---|
| Provider Enumeration Date | 12/28/2023 |
| Last Update Date | 01/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457120669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |