| NPI | 1609707868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLEY PAGE Director Of Contracting & Credentia 417-861-9739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2026-05-27 |
| Last Update Date | 2026-08-11 |