| Missouri Highlands Health Care | |
|
1407 N Westwood Blvd Poplar Bluff MO 63901-3315 | |
| (573) 778-3042 | |
| (573) 778-9432 |
| Full Name | Missouri Highlands Health Care |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1407 N Westwood Blvd, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Karen White (CEO) |
| Authorized Official Contact | 5736632313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Highlands Health Care 110 S 2nd St Ellington MO 63638-9400 Ph: (573) 663-2313 | Missouri Highlands Health Care 1407 N Westwood Blvd Poplar Bluff MO 63901-3315 Ph: (573) 778-3042 |
| NPI Number | 1295820348 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 02/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295820348 | NPI | - | NPPES |
| 500462809 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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