Home » Missouri » 65284 » Tri County Medical Clinic P C

Tri County Medical Clinic P C

Tri County Medical Clinic P C is a health care provider in Clark, MO. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 208 N Ogden St, Box 367, Sturgeon, MO 65284-9217, US
Practice Location Phone573-687-3411
Practice Location Fax573-687-3328
Legal Business NameTRI COUNTY MEDICAL CLINIC P C
NPI ?1639317050
Entity TypeOrganization
Enumeration Date ? Jan 22, 2009
Last Update Date ? Jan 22, 2009
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Tri County Medical Clinic P C

SpecialtySpecializationLicenseLicense State
Clinic/CenterPrimary Care R8G92Missouri

legacy-id-icon Legacy Provider IDs of Tri County Medical Clinic P C

Provider IdIssuer StateIssuer TypeIssuer
242429009MissouriMedicaid
A14027MissouriMedicare Upin
94626MissouriMedicare Pin

official-icon Authorized Official of Tri County Medical Clinic P C

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Tri County Medical Clinic P C's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Alan M Weaver (D.O.)
Authorized Official Title/PositionMEDICAL DIRECTOR
Authorized Official Phone Number573-687-3411