| NPI | 1134304603 |
|---|---|
| Doing Business As | SAC-OSAGE HOSPITAL LAKE AREA PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALMA F RODABAUGH Business Office Managet 417-646-5015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |