| Sjc-cassville | |
|
90 Gravel St Cassville MO 65625-1601 | |
| (417) 847-6045 | |
| (417) 847-6049 |
| Full Name | Sjc-cassville |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 90 Gravel St, Cassville, Missouri |
| Authorized Official Name and Position | Donn E. Sorensen (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4178294264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sjc-cassville Po Box 2580 Springfield MO 65801-2580 Ph: (417) 829-4620 | Sjc-cassville 90 Gravel St Cassville MO 65625-1601 Ph: (417) 847-6045 |
| NPI Number | 1740316728 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740316728 | NPI | - | NPPES |
| 598833101 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R4E21 (Missouri) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |
| 363A00000X | Physician Assistant | 104182 (Missouri) | Secondary |
Mercy Clinic Cassville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Plz, Cassville, MO 65625 Phone: 417-847-5225 | |
Access Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4016 Main St, Cassville, MO 65625 Phone: 417-847-0057 Fax: 417-847-0079 | |
Coxhealth Cassville Outreach Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Smithson Dr Ste B, Cassville, MO 65625 Phone: 417-269-5712 Fax: 417-269-7567 | |
Heritage Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1011 Main St, Cassville, MO 65625 Phone: 417-846-2277 Fax: 417-846-0176 | |
Mercy Clinic Family Medicine-cassville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 92 Main St, Cassville, MO 65625 Phone: 417-847-5225 Fax: 417-847-5425 | |
Cox Health Center Cassville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Smithson Dr Ste B, Cassville, MO 65625 Phone: 417-847-3500 Fax: 417-847-3523 | |
Barry County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65 Main St, Cassville, MO 65625 Phone: 417-847-2114 Fax: 417-847-2116 |