| Western Missouri Medical Center | |
|
600 E Allen St Ste A Knob Noster MO 65336 | |
| (660) 563-5555 | |
| Not Available |
| Full Name | Western Missouri Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 E Allen St Ste A, Knob Noster, Missouri |
| Authorized Official Name and Position | Michael Dean Ohmart (CFO) |
| Authorized Official Contact | 6602627307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Missouri Medical Center 600 E Allen St Ste A Knob Noster MO 65336-1184 Ph: (660) 563-5555 | Western Missouri Medical Center 600 E Allen St Ste A Knob Noster MO 65336 Ph: (660) 563-5555 |
| NPI Number | 1972817658 |
|---|---|
| Provider Enumeration Date | 08/05/2010 |
| Last Update Date | 11/01/2021 |
| Medicare PECOS PAC ID | 5092852111 |
|---|---|
| Medicare Enrollment ID | O20190802001096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972817658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Western Missouri Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 E Allen St Ste A, Knob Noster, MO 65336 Phone: 660-563-5555 |