# REGIONAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Clinic of Willow Springs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023188562
- **Authorized official:** DAVID P TAYLOR (VICE PRESIDENT)
- **Authorized official phone:** (417) 269-6262

## Contact information

- **Practice address:** 816 E MAIN ST, WILLOW SPRINGS, MO 65793-1518
- **Practice address phone:** (417) 469-3116
- **Practice address fax:** (417) 469-3151
- **Mailing address:** PO BOX 4046, SPRINGFIELD, MO 65808-4046
- **Mailing address phone:** (417) 269-7834
- **Mailing address fax:** (417) 269-7567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 08/22/2020