| Southern Missouri Community Health Center | |
|
365 E Walnut St Thayer MO 65791-1523 | |
| (417) 255-8464 | |
| (417) 255-9732 |
| Full Name | Southern Missouri Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 365 E Walnut St, Thayer, Missouri |
| Authorized Official Name and Position | Bryan Adcock (CEO) |
| Authorized Official Contact | 4172558464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Missouri Community Health Center 1137 Independence Dr West Plains MO 65775-4221 Ph: (417) 255-8464 | Southern Missouri Community Health Center 365 E Walnut St Thayer MO 65791-1523 Ph: (417) 255-8464 |
| NPI Number | 1619519550 |
|---|---|
| Provider Enumeration Date | 10/11/2019 |
| Last Update Date | 10/25/2019 |
| Medicare PECOS PAC ID | 6103734058 |
|---|---|
| Medicare Enrollment ID | O20200409002050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619519550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Southern Missouri Community Health Center Thayer Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Rr 3 Box 3707, Thayer, MO 65791 Phone: 417-264-2990 Fax: 417-264-2993 | |
Southern Missouri Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Walnut St, Thayer, MO 65791 Phone: 417-255-8464 Fax: 417-255-9732 | |
Ozarks Healthcare Thayer Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1375 Nettleton Avenue, Thayer, MO 65791 Phone: 417-264-7136 Fax: 417-264-7122 |