NPI | 1164488680 |
---|---|
Doing Business As | SOUTHERN MISSOURI COMMUNITY HEALTH CENTER THAYER CLINIC |
Entity Type | Organization |
Authorized Contact | PATRICIA J RICHARDS CEO 417-255-8464 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-04-24 |
Last Update Date | 2015-01-15 |