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Organization

HARTVILLE MEDICAL CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM E BERNER (CLINIC ADMINISTRATOR)
(989) 892-7722
Entity
Organization

Contact information

Practice address
275 S SCHOOL AVE, HARTVILLE, MO 65667
(417) 741-7484
(417) 741-7482
Mailing address
275 S SCHOOL AVE, HARTVILLE, MO 65667-8406
(417) 741-7484
(417) 741-7482

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080110949
RAIL ROAD MEDICARE
01
110115
BLUE CROSS
MO
01
31512
BLUE CROSS
MO
05
598599504
MO
Enumeration date
06/17/2006
Last updated
06/13/2018
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