| Mosaic Family Care Albany East | |
|
1607 E Us Highway 136 Albany MO 64402-8223 | |
| (660) 726-3333 | |
| (660) 726-3232 |
| Full Name | Mosaic Family Care Albany East |
|---|---|
| Speciality | Family Medicine |
| Location | 1607 E Us Highway 136, Albany, Missouri |
| Authorized Official Name and Position | Jon D. Doolittle (PRESIDENT AND CEO) |
| Authorized Official Contact | 6607263941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Family Care Albany East 1607 E Us Highway 136 Albany MO 64402-8223 Ph: (660) 726-3333 | Mosaic Family Care Albany East 1607 E Us Highway 136 Albany MO 64402-8223 Ph: (660) 726-3333 |
| NPI Number | 1912190620 |
|---|---|
| Provider Enumeration Date | 08/27/2007 |
| Last Update Date | 06/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912190620 | NPI | - | NPPES |
| 505708305 | Medicaid | MO | |
| 203818505 | Medicaid | MO | |
| L288375 | Other | MO | MEDICARE PART B GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 115802 (Missouri) | Primary |
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