Organization · Type 2 NPI

Noble Health Audrain Inc

Rural Health Clinic/Center · Auxvasse, MO

NPI number 1184209538 Active

Practice location

201 S. Main Street
Auxvasse, MO 65231-1624

Fax (573) 386-5995

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1184209538
Entity type: Organization (Type 2)
Issued: Mar 16, 2021
Last updated: Jun 23, 2022
Status: Active
Subpart: Yes of Noble Health Audrain Inc

Other names

<unavail>
Audrain Comm Clinic Auxvasse · doing business as
Audrain Comm Clinic Auxvasse · doing business as

Authorized official

Amy L Obrien
CEO
(573) 582-5000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1184209538

Noble Health Audrain Inc's National Provider Identifier is 1184209538, issued on Mar 16, 2021. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Auxvasse, MO. The record was last updated on Jun 23, 2022.