| Ozark Rural Healthcare Llc | |
|
3001 Warrior Ln Poplar Bluff MO 63901-8685 | |
| (312) 953-5636 | |
| Not Available |
| Full Name | Ozark Rural Healthcare Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 3001 Warrior Ln, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Sarfaraz Abdeali Jasdanwala (OWNER/CEO) |
| Authorized Official Contact | 3129535636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozark Rural Healthcare Llc 17781 Hornbean Dr Wildwood MO 63005-4229 Ph: (312) 953-5636 | Ozark Rural Healthcare Llc 3001 Warrior Ln Poplar Bluff MO 63901-8685 Ph: (312) 953-5636 |
| NPI Number | 1871218099 |
|---|---|
| Provider Enumeration Date | 10/10/2022 |
| Last Update Date | 10/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871218099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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