| NPI | 1437467388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY LYNN CLOUSE DAY VP Finance 417-820-8439 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2021-09-23 |