| NPI | 1245477579 |
|---|---|
| Doing Business As | MOHIGH FAMILY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | BARBARA DAVIS Billing Supervisor 573-663-2313 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2010-01-27 |