| Och Newton County Clinic | |
|
1355 Rocketdyne Rd Neosho MO 64850-3106 | |
| (417) 451-7425 | |
| (417) 451-7455 |
| Full Name | Och Newton County Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1355 Rocketdyne Rd, Neosho, Missouri |
| Authorized Official Name and Position | Paul G Taylor (CEO) |
| Authorized Official Contact | 4178374004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Och Newton County Clinic 117 E Hickory St Neosho MO 64850-1806 Ph: (417) 451-4545 | Och Newton County Clinic 1355 Rocketdyne Rd Neosho MO 64850-3106 Ph: (417) 451-7425 |
| NPI Number | 1982254371 |
|---|---|
| Provider Enumeration Date | 09/17/2019 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Medicare PECOS PAC ID | 5092616276 |
|---|---|
| Medicare Enrollment ID | O20191010002373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982254371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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