Organization · Type 2 NPI
Retired
Medical Specialty Clinic/Center · Hallsville, MO
NPI number
1962818435
Active
Practice location
13714 N Sportsmans Dr
Hallsville, MO 65255-9330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | R5108 (MO) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
About NPI 1962818435
Retired's National Provider Identifier is 1962818435, issued on Jul 6, 2014. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Hallsville, MO. The record was last updated on Jul 6, 2014.