# SPECTRUM HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063785442
- **Authorized official:** SHAWNA WOOFTER (PROGRAM MANAGER)
- **Authorized official phone:** (573) 514-7312

## Contact information

- **Practice address:** 1123 WILKES BLVD STE 110, COLUMBIA, MO 65201-4774
- **Practice address phone:** (573) 514-7312
- **Practice address fax:** (573) 242-6427
- **Mailing address:** 1123 WILKES BLVD STE 100, COLUMBIA, MO 65201-4774
- **Mailing address phone:** (573) 514-7312
- **Mailing address fax:** (573) 242-6336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 261QF0050X | Non-Surgical Family Planning Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/16/2012
- **Last updated:** 01/05/2024