| NPI | 1104572312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANNE THOMPSON Finance Manager 417-851-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-02-25 |