| NPI | 1740316728 |
|---|---|
| Doing Business As | SJC-CASSVILLE |
| Entity Type | Organization |
| Authorized Contact | DONN E. SORENSEN Chief Operating Officer 417-829-4264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO R4E21) |
| 363A00000X Physician Assistant (Licence: MO 104182) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-06-30 |