| NPI | 1649332156 |
|---|---|
| Doing Business As | MT.VERNON CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIM K ROBERTS Office Manager 417-466-7191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MO 113916) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-07-11 |