NPI | 1609963636 |
---|---|
Doing Business As | FAMILY CARE CLINIC HIGH |
Entity Type | Organization |
Authorized Contact | GREGORY WEAVER CEO 660-200-7001 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MO 268606) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2023-08-15 |