# JESSE DWAYNE HELTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Byrnes Mill Medical Center-Richwoods
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033183819
- **Authorized official:** JESSE DWAYNE HELTON DO (OWNER)
- **Authorized official phone:** (573) 678-2444

## Contact information

- **Practice address:** 10649 STATE HIGHWAY A, RICHWOODS, MO 63071-2558
- **Practice address phone:** (573) 678-2444
- **Practice address fax:** (573) 678-2445
- **Mailing address:** 10649 STATE HIGHWAY A, PO BOX 280, RICHWOODS, MO 63071-2558
- **Mailing address phone:** (573) 678-2444
- **Mailing address fax:** (573) 678-2445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2006025334 | MO | — |
| 207Q00000X | Family Medicine Physician | R6F69 | MO | — |
| 207R00000X | Internal Medicine Physician | DO113093 | MO | — |
| 261QR1300X | Rural Health Clinic/Center | — | MO | Yes |

## Other

- **Enumeration date:** 02/16/2006
- **Last updated:** 08/14/2008