| Serc | |
|
220 Nw Platte Valley Dr Riverside MO 64150-9793 | |
| (816) 505-3422 | |
| (816) 505-3312 |
| Full Name | Serc |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 220 Nw Platte Valley Dr, Riverside, Missouri |
| Authorized Official Name and Position | Kiley Russell (MANAGER) |
| Authorized Official Contact | 4232388923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serc 17134 Bel Ray Pl Belton MO 64012-5331 Ph: (816) 524-5130 | Serc 220 Nw Platte Valley Dr Riverside MO 64150-9793 Ph: (816) 505-3422 |
| NPI Number | 1700140258 |
|---|---|
| Provider Enumeration Date | 06/29/2012 |
| Last Update Date | 09/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700140258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | () | Primary |
| 261QX0100X | Clinic/center - Occupational Medicine | () | Secondary |
Swope Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2908 Nw Vivion Rd Ste 100, Riverside, MO 64150 Phone: 816-627-2050 |
Functional Pharmd Consulting Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Nw Platte Rd, Riverside, MO 64150 Phone: 816-569-2815 |