| Tammy Hart, Md, Pc | |
|
400 N Fullerton St Princeton MO 64673-1418 | |
| (660) 748-4040 | |
| (660) 748-4042 |
| Full Name | Tammy Hart, Md, Pc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 400 N Fullerton St, Princeton, Missouri |
| Authorized Official Name and Position | Tammy K Hart (PRESIDENT) |
| Authorized Official Contact | 6607484040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Hart, Md, Pc 400 N Fullerton St Princeton MO 64673-1418 Ph: (660) 748-4040 | Tammy Hart, Md, Pc 400 N Fullerton St Princeton MO 64673-1418 Ph: (660) 748-4040 |
| NPI Number | 1952514549 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 01/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952514549 | NPI | - | NPPES |
| 593909203 | Medicaid | MO | |
| 240969 | Other | MO | FREEDOM NETWORK |
| 22235016 | Other | MO | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 100333 (Missouri) | Primary |
Infinity Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 606 W Main St, Princeton, MO 64673 Phone: 660-748-3022 Fax: 515-608-4592 | |
Saint Luke's Hospital Of Trenton Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 N Fullerton St, Princeton, MO 64673 Phone: 660-748-4042 |