Boonville Outpatient Clinic | |
15899 Logans Lake Rd #a Boonville MO 65233-2866 | |
(660) 882-2333 | |
(660) 882-2333 |
Full Name | Boonville Outpatient Clinic |
---|---|
Speciality | Clinic/center |
Location | 15899 Logans Lake Rd, Boonville, Missouri |
Authorized Official Name and Position | Allen Tacker (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5734432204 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Boonville Outpatient Clinic 117 N Garth Ave Columbia MO 65203-4103 Ph: (573) 443-2204 | Boonville Outpatient Clinic 15899 Logans Lake Rd #a Boonville MO 65233-2866 Ph: (660) 882-2333 |
NPI Number | 1538204904 |
---|---|
Provider Enumeration Date | 02/21/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538204904 | NPI | - | NPPES |
1649269622 | Other | MO | FCCMO BILLING NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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› Verified 3 days ago
Mental Health Matters Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Park Ave, Boonville, MO 65233 Phone: 417-737-1616 | |
Insight Dynamics Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 413 E Spring St, Boonville, MO 65233 Phone: 166-088-2640 |