# NEVADA MEDICAL CLINIC L.L.C.

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

## Provider details

- **NPI number:** 1104821867
- **Authorized official:** MR. JAMES D HARMS (ADMINISTRATOR)
- **Authorized official phone:** (417) 667-6015

## Contact information

- **Practice address:** 900 S ADAMS ST, NEVADA, MO 64772-3210
- **Practice address phone:** (417) 667-6015
- **Practice address fax:** (417) 667-4234
- **Mailing address:** 900 S ADAMS ST, NEVADA, MO 64772-3210
- **Mailing address phone:** (417) 667-6015
- **Mailing address fax:** (417) 667-4234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MO | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/17/2005
- **Last updated:** 07/21/2022