| NPI | 1720505894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD HEURING Information System Director 573-547-2536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |