Richland Medical Center, Inc.

NPI #1598968489 in Richland, Missouri

Provider Information

NPI Number: 1598968489
Entity Type: Organization
Organization Name: Richland Medical Center, Inc.
Primary Specialty: Dentist
Enumeration Date: Jun 7, 2007
Last Updated: Apr 8, 2019

Practice Location

Address: 304 W WASHINGTON AVE
City: Richland
State: Missouri
ZIP Code: 65556-7101
Phone: (573) 765-5131

Authorized Official

Name: PAUL P BOCCI
Title: CFO
Phone: (314) 422-3617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X
Dentist	122300000X	Primary

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