| Ssm Health Medical Group - Family Medicine | |
|
626 E Summit St Ste L Mexico MO 65265-3298 | |
| (573) 581-6266 | |
| (573) 581-0955 |
| Full Name | Ssm Health Medical Group - Family Medicine |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 626 E Summit St Ste L, Mexico, Missouri |
| Authorized Official Name and Position | Robert V. Vanconia (PRESIDENT/CEO) |
| Authorized Official Contact | 5735828108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm Health Medical Group - Family Medicine 626 E Summit St Ste L Mexico MO 65265-3298 Ph: (573) 581-6266 | Ssm Health Medical Group - Family Medicine 626 E Summit St Ste L Mexico MO 65265-3298 Ph: (573) 581-6266 |
| NPI Number | 1467462010 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 05/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467462010 | NPI | - | NPPES |
| 597765809 | Medicaid | MO | |
| 507765808 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Center For Digestive & Liver Diseases, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 714 Medical Park Dr, Mexico, MO 65265 Phone: 573-581-7196 Fax: 573-581-3632 | |
Senior Adult Care Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 E Monroe St, Mexico, MO 65265 Phone: 573-581-8127 Fax: 573-582-7053 | |
Ziva Medical Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 E Promenade St Ste 1, Mexico, MO 65265 Phone: 573-570-3520 | |
Cornerstone Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 E Promenade St, Mexico, MO 65265 Phone: 573-200-6078 Fax: 833-817-7109 | |
University Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 E Promenade, Mexico, MO 65265 Phone: 573-582-6982 | |
Arthur Center Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 | |
Arthur Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-581-1981 |