| NPI | 1891236170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | K BROOKS MILLER President/CEO 417-851-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2021-12-02 |