Organization
SCHEIDLER RURAL HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEFAN SCHEIDLER M.D. (OWNER)
57388808900
Entity
Organization
Contact information
Practice address
301 SOUTH BYP, KENNETT, MO 63857-3252
(573) 888-0900
(573) 888-9588
Mailing address
301 SOUTH BYP, KENNETT, MO 63857-3252
(573) 888-0900
(573) 888-9588
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000015184
MEDICARE PART B
MO
Enumeration date
01/18/2007
Last updated
10/27/2011
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