| NPI | 1780106732 |
|---|---|
| Doing Business As | BOONE COUNTY HEALTH CENTER PCMH |
| Entity Type | Organization |
| Authorized Contact | CALEB K POORE CEO 402-395-3213 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2024-04-18 |