Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 321 Elm Street, Hale, Missouri |
Authorized Official Name and Position | Holly H Minnis (OFFICE MANAGER) |
Authorized Official Contact | 6606462682 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 86 Hale MO 64643-0086 Ph: (660) 565-2602 | 321 Elm Street Hale MO 64643 Ph: (660) 565-2602 |
NPI Number | 1437230935 |
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Provider Enumeration Date | 10/18/2006 |
Last Update Date | 02/28/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437230935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |