| Mercy Southeast Primary Care West | |
|
817 S Mount Auburn Rd Cape Girardeau MO 63703-6383 | |
| (573) 519-4500 | |
| Not Available |
| Full Name | Mercy Southeast Primary Care West |
|---|---|
| Speciality | Clinic/Center |
| Location | 817 S Mount Auburn Rd, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Krista Berry (CFO) |
| Authorized Official Contact | 5733316028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Southeast Primary Care West 817 S Mount Auburn Rd Cape Girardeau MO 63703-6383 Ph: (573) 519-4500 | Mercy Southeast Primary Care West 817 S Mount Auburn Rd Cape Girardeau MO 63703-6383 Ph: (573) 519-4500 |
| NPI Number | 1699073122 |
|---|---|
| Provider Enumeration Date | 03/08/2011 |
| Last Update Date | 01/13/2024 |
| Medicare PECOS PAC ID | 9133024334 |
|---|---|
| Medicare Enrollment ID | O20100804000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699073122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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