| NPI | 1902851843 |
|---|---|
| Doing Business As | FAMILY CARE CLINIC HIGH |
| Entity Type | Organization |
| Authorized Contact | GREGORY WEAVER CEO 660-200-7000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MO 205 49) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 205 45) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2023-08-15 |