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Robert J Churchill

Radiology

Allopathic & Osteopathic Physicians

One Hospital Drive, Columbia, MO 65212-0001

PECOS Enrollment

Based on the most recent information from CMS, provider Robert J Churchill does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1760429344
Provider Type
Individual
Full Name
Churchill, Robert J
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/1/2006
Last Updated
12/24/2007

Contact Information

Practice Location

One Hospital Drive, Columbia, MO 65212-0001

(573) 882-1026

(573) 884-8876

Mailing Location

PO Box 7687, Columbia, MO 65205-7687

(573) 882-2259

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License R9G02 Missouri

Provider Identifiers

ID	Description	Issuer
ID 102427	Description Other	Issuer HEALTHLINK Missouri
ID 1604031	Description Other	Issuer UNITED HEALTHCARE Missouri
ID 2087174301	Description Other	Issuer KANSAS MEDICAID Missouri
ID 127217	Description Other	Issuer BLUE CHOICE Missouri
ID 127217	Description Other	Issuer BLUE SHIELD Missouri

Robert J Churchill

PECOS Enrollment

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