institution
Gamma Healthcare Inc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Poplar Bluff, Missouri
NPI 1154406619

Gamma Healthcare Inc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Poplar Bluff, MO. Gamma Healthcare Inc practices in Poplar Bluff, MO. The NPI Number for Gamma Healthcare Inc is 1154406619 and holds a License No. 9259424 (Missouri).

The current practice location address for Gamma Healthcare Inc is 1717 W Maud St, Poplar Bluff, MO and can be reached out via phone at 573-727-5600 and via fax at 573-785-0753.

Location: 1717 W Maud St, Poplar Bluff, MO, 63901-4003
institution
Provider Profile Details
NPI Number
1154406619
Provider Name
Gamma Healthcare Inc
Credential
Provider Entity Type
Organization
Address
1717 W Maud St, Poplar Bluff, MO, 63901-4003
Phone Number
573-727-5600
Fax Number
573-785-0753
Provider Enumeration Date
10/25/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
470766 01 MO HEALTHLINK
7708309 05 MS
2458112 01 MO UHC MEDICARE COMPLETE
135925709 05 AR
711734103 05 MO
162202 01 MO BLUE CROSS BLUE SHIELD
630001686 01 MO MEDICARE RAILROAD
2458112 01 MO UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
1717 W Maud St
City
State
Zip
63901-4003
Phone Number
573-727-5600
Fax Number
573-785-0753
person
Provider Business Mailing Address Details
Address
1717 W Maud St
City
State
Zip
63901-4003
Phone Number
573-727-5600
Fax Number
573-785-0753
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
License No.
9259424 (Illinois)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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