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Organization

GAMMA HEALTHCARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JERRY W MURPHY (CHAIRMAN & CEO)
(573) 727-5600
Entity
Organization

Contact information

Practice address
1717 W MAUD ST, POPLAR BLUFF, MO 63901-4003
(573) 727-5600
(573) 785-0753
Mailing address
1717 W MAUD ST, POPLAR BLUFF, MO 63901-4003
(573) 727-5600
(573) 785-0753

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000014651
ARKANSAS COMMUNITY CARE
05
01785013
MS
05
113580
AL
01
157554
BLUE CROSS OF MISSOURI
MO
05
159997709
AR
01
1740361690
MERCY
01
18127
BLUE CROSS BLUE SHEILD OF ARKANSAS
AR
05
200386900A
KS
01
2458112
UHC MEDICARE COMPLETE
MO
01
406690419
MEDICARE RAILROAD
TN
01
431247740LAB
PREMIER PLUS BENEFITS
01
470766
HEALTHLINK
MO
01
690009308
MEDICARE RAILROAD
MO
05
701734105
MO
Enumeration date
10/18/2006
Last updated
12/06/2011
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