| NPI | 1003187402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONN E. SORENSEN Vice President Ambulatory Care 417-820-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |