NPI | 1619519550 |
---|---|
Doing Business As | SOUTHERN MISSOURI COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | BRYAN ADCOCK CEO 417-255-8464 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-10-11 |
Last Update Date | 2019-10-25 |