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35629 Highway 72 Building 1 Salem MO 65560-7217 | |
(573) 729-5917 | |
(573) 739-4759 |
Full Name | |
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Speciality | Family Medicine |
Location | 35629 Highway 72, Salem, Missouri |
Authorized Official Name and Position | Rebecca Cunningham (CONTROLLER) |
Authorized Official Contact | 5737295917 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 680 Salem MO 65560-0680 Ph: (573) 729-5917 | 35629 Highway 72 Building 1 Salem MO 65560-7217 Ph: (573) 729-5917 |
NPI Number | 1922345800 |
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Provider Enumeration Date | 01/11/2013 |
Last Update Date | 04/11/2014 |
Identifier | Type | State | Issuer |
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1922345800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 2007013987 (Missouri) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Charles W Cunningham Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Hwy 32 East, Salem, MO 65560 Phone: 573-729-5533 Fax: 573-729-7754 | |
South Central Missouri Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 S Mcarthur St, Salem, MO 65560 Phone: 573-426-2407 Fax: 573-426-6723 | |