| Wayne Medical Center Llc | |
|
Rr 4 Box 4515 Piedmont MO 63957-9417 | |
| (573) 223-4233 | |
| (573) 223-2136 |
| Full Name | Wayne Medical Center Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | Rr 4 Box 4515, Piedmont, Missouri |
| Authorized Official Name and Position | David Andrew Gayle (MEMBER) |
| Authorized Official Contact | 5732234233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Medical Center Llc Rr 4 Box 4515 Piedmont MO 63957-9417 Ph: (573) 223-4233 | Wayne Medical Center Llc Rr 4 Box 4515 Piedmont MO 63957-9417 Ph: (573) 223-4233 |
| NPI Number | 1083775860 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 01/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083775860 | NPI | - | NPPES |
| 595929902 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 263933 (Missouri) | Primary |
Wayne Medical Center, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr 4 Box 4515, Piedmont, MO 63957 Phone: 573-223-4233 Fax: 573-223-2136 | |
Big Springs Medical Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Hals Plz Ste B, Piedmont, MO 63957 Phone: 573-223-8902 | |
Poplar Bluff Regional Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Hals Plz, Piedmont, MO 63957 Phone: 573-223-4800 Fax: 573-223-7161 | |
Big Springs Medical Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Hals Plaza, Piedmont, MO 63957 Phone: 573-223-4800 Fax: 573-223-7161 | |
Poplar Bluff Regional Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: #1 Hal's Plaza, Piedmont, MO 63957 Phone: 573-223-4800 |