Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | Highway 19 South, Eminence, Missouri |
Authorized Official Name and Position | Scott Reynolds (VP FINANCE) |
Authorized Official Contact | 4178202818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Highway 19 South Eminence MO 65466 Ph: (573) 226-5401 | Highway 19 South Eminence MO 65466 Ph: (573) 226-5401 |
NPI Number | 1073951273 |
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Provider Enumeration Date | 06/10/2013 |
Last Update Date | 06/10/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073951273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |