| State Of Missouri | |
|
100 West 1st St Higginsville MO 64037 | |
| (660) 584-2142 | |
| (660) 584-6244 |
| Full Name | State Of Missouri |
|---|---|
| Speciality | Family Medicine |
| Location | 100 West 1st St, Higginsville, Missouri |
| Authorized Official Name and Position | Molly Jane Boeckmann (DIRECTOR OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 5737514055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Missouri 1706 E Elm St Jefferson City MO 65101-4130 Ph: (573) 751-3398 | State Of Missouri 100 West 1st St Higginsville MO 64037 Ph: (660) 584-2142 |
| NPI Number | 1407803851 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 10/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407803851 | NPI | - | NPPES |
| 501499701 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
Western Missouri Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 W 22nd St, Higginsville, MO 64037 Phone: 660-584-7751 Fax: 660-584-6149 | |
Western Missouri Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 W 22nd St, Higginsville, MO 64037 Phone: 660-262-7475 | |
Compass Health, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1810 Spruce St, Higginsville, MO 64037 Phone: 844-853-8937 | |
Midwest Division - Lrhc Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3401 Pine St, Higginsville, MO 64037 Phone: 660-584-2192 Fax: 660-584-3771 | |
Serc Rehabilitation Partners, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Fairground Ave, Higginsville, MO 64037 Phone: 660-584-7801 Fax: 660-584-8619 | |
Family Practice Associates Of West Central Mo Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 W 22nd St, Higginsville, MO 64037 Phone: 660-584-7751 Fax: 660-584-8261 |