NPI | 1598737827 |
---|---|
Doing Business As | HEALTH WAY PRIMARY CARE CLINIC |
Entity Type | Organization |
Authorized Contact | DEBRA PRATT CFO 573-438-5451 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
207Q00000X Family Medicine (Licence: MO R6P28) | |
207Q00000X Family Medicine (Licence: MO 2002028056) | |
Enumeration Date | 2006-02-02 |
Last Update Date | 2020-08-27 |