Mid-South Health Clinic LLC
NPI #1073595096 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1073595096
- Entity Type
- Organization
- Organization Name
- Mid-South Health Clinic LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Nov 16, 2005
- Last Updated
- Jul 10, 2008
Practice Location
- Address
- 3100 WARRIOR LN
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-8686
- Phone
- (573) 785-0851
Authorized Official
- Name
- JOETTA MARTIN
- Title
- ADMINISTRATOR
- Phone
- (573) 785-0851
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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