| NPI | 1881608685 |
|---|---|
| Doing Business As | CCMH MEDICAL MALL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TERRY W NICHOLS CEO 417-876-2511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-03-06 |