Organization · Type 2 NPI
Goforth Health Center, LLC
Health Service Clinic/Center · Osage Beach, MO
NPI number
1114347705
Active
Practice location
4344 Osage Beach Pkwy, A2
Osage Beach, MO 65065-2175
Mailing address
PO Box 2458
Lake Ozark, MO 65049-2458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | CE0006497 (MO) |
Health Service Clinic/Center: Definition to come...
About NPI 1114347705
Goforth Health Center, LLC's National Provider Identifier is 1114347705, issued on Apr 22, 2014. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Osage Beach, MO. The record was last updated on Apr 22, 2014.