| Theodosia Medical Center | |
|
Us Highway 160 #1 Theodosia MO 65761 | |
| (417) 273-4449 | |
| (417) 273-4489 |
| Full Name | Theodosia Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | Us Highway 160, Theodosia, Missouri |
| Authorized Official Name and Position | Marian W Stewart (PHYSICIAN OWNER) |
| Authorized Official Contact | 4172734449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodosia Medical Center 516 Iowa Colony Rd Hollister MO 65672-5270 Ph: (417) 239-0079 | Theodosia Medical Center Us Highway 160 #1 Theodosia MO 65761 Ph: (417) 273-4449 |
| NPI Number | 1679571590 |
|---|---|
| Provider Enumeration Date | 07/13/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679571590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Missouri) | Primary |
Theodosia Family Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4900 St Hwy. 160, Suite 2, Theodosia, MO 65761 Phone: 417-273-2300 Fax: 417-273-2316 |