| NPI | 1710108766 |
|---|---|
| Other Name | OTTO BEAN MEDICAL CLINIC |
| Doing Business As | OTTO BEAN MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SARA DEANE Chief Financial Officer 573-313-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-04-14 |