| NPI | 1851373906 |
|---|---|
| Doing Business As | EXTENDED HEALTH SYSTEMS MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | GLENN HAYNES CEO 573-359-2930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2020-08-22 |