| Thomas Care Clinic LLC | |
|
2040 E Sunshine St Springfield MO 65804-1815 | |
| (417) 275-8900 | |
| (417) 270-8012 |
| Full Name | Thomas Care Clinic LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 2040 E Sunshine St, Springfield, Missouri |
| Authorized Official Name and Position | Alicia R Thomas (CLINIC OWNER) |
| Authorized Official Contact | 4172758900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Care Clinic LLC 2040 E Sunshine St Springfield MO 65804-1815 Ph: (417) 275-8900 | Thomas Care Clinic LLC 2040 E Sunshine St Springfield MO 65804-1815 Ph: (417) 275-8900 |
| NPI Number | 1962086496 |
|---|---|
| Provider Enumeration Date | 05/11/2021 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Medicare PECOS PAC ID | 8426466814 |
|---|---|
| Medicare Enrollment ID | O20210423002133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962086496 | NPI | - | NPPES |
| 1154787638 | Other | MO | NPPES |
| 420028118 | Medicaid | MO |
| Provider Name | Alicia R Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154787638 PECOS PAC ID: 9931404258 Enrollment ID: I20160224002968 |
| Provider Name | Jason W Sims |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649460197 PECOS PAC ID: 2769541085 Enrollment ID: I20240501002124 |
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