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Organization
BURTON CREEK RURAL CLINIC, LLC
Active
Organization
BURTON CREEK RURAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA CHRISTINE GREGG MHA (CEO)
(417) 256-2111
Entity
Organization
Contact information
Practice address
805 N KENTUCKY AVE, WEST PLAINS, MO 65775-2022
(417) 256-2111
(417) 256-4858
Mailing address
805 N KENTUCKY AVE, WEST PLAINS, MO 65775-2022
(417) 256-2111
(417) 256-4858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
599022308
—
MO
Enumeration date
08/03/2017
Last updated
05/20/2026
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