Organization
MOSAIC MEDICAL CENTER - MARYVILLE
Active
Other names
Mosaic Specialty Care - West
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT R CARVELL (DIRECTOR OF REIMBURSEMENT)
(816) 273-0473
Entity
Organization
Contact information
Practice address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-2525
(660) 526-4303
Mailing address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-2525
(660) 526-4303
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
03/01/2019
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