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Organization
MOSAIC MEDICAL CENTER - MARYVILLE
Active
Organization
MOSAIC MEDICAL CENTER - MARYVILLE
Active
Other names
Mosaic Family Care - Savannah
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT R CARVELL (DIRECTOR OF REIMBURSEMENT)
(816) 273-0473
Entity
Organization
Contact information
Practice address
301 E PRICE AVE STE A, SAVANNAH, MO 64485-2482
(816) 432-0006
(816) 432-0008
Mailing address
301 E PRICE AVE STE A, SAVANNAH, MO 64485-2482
(816) 432-0006
(816) 432-0008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
NULL
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
01/18/2019
Last updated
06/10/2019
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