| Kneibert Clinic Rural Health Clinic | |
|
686 Lester St Poplar Bluff MO 63901 | |
| (573) 686-2411 | |
| (573) 686-8452 |
| Full Name | Kneibert Clinic Rural Health Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 686 Lester St, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Robert E Christian (ADMINISTRATOR) |
| Authorized Official Contact | 5737787210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kneibert Clinic Rural Health Clinic Po Box 220 Poplar Bluff MO 63902 Ph: (573) 686-2411 | Kneibert Clinic Rural Health Clinic 686 Lester St Poplar Bluff MO 63901 Ph: (573) 686-2411 |
| NPI Number | 1174501662 |
|---|---|
| Provider Enumeration Date | 01/04/2006 |
| Last Update Date | 10/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174501662 | NPI | - | NPPES |
| 149951729 | Medicaid | AR | |
| 595929605 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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