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35 Winfield Plz Winfield MO 63389-3451 | |
(636) 668-6824 | |
(636) 668-6445 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 35 Winfield Plz, Winfield, Missouri |
Authorized Official Name and Position | Mark Thorn (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 6365283329 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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35 Winfield Plz Winfield MO 63389-3451 Ph: (636) 668-6824 | 35 Winfield Plz Winfield MO 63389-3451 Ph: (636) 668-6824 |
NPI Number | 1194151274 |
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Provider Enumeration Date | 09/19/2013 |
Last Update Date | 08/13/2014 |
Identifier | Type | State | Issuer |
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1194151274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |