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904 S Pine St Richland MO 65556-7393 | |
(573) 765-2956 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 904 S Pine St, Richland, Missouri |
Authorized Official Name and Position | Scott Reynolds (VICE PRESIDENT-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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904 S Pine St Richland MO 65556-7393 Ph: (573) 765-2956 | 904 S Pine St Richland MO 65556-7393 Ph: (573) 765-2956 |
NPI Number | 1437596160 |
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Provider Enumeration Date | 06/04/2013 |
Last Update Date | 06/04/2013 |
Identifier | Type | State | Issuer |
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1437596160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |