| NPI | 1568703130 |
|---|---|
| Doing Business As | PORTAGEVILLE COMMUNITY CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JASON SCHRUMPF CEO/President 573-472-7601 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2015-03-12 |