| NPI | 1699873372 |
|---|---|
| Doing Business As | PORTAGEVILLE PRIMARY CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK R DAVIS CEO 573-359-3612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-05-12 |