# NOBLE HEALTH AUDRAIN INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NOBLE HEALTH AUDRAIN INC
- **Other names:** Audrain Com Clinic Montgomery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154912871
- **Legal business name:** NOBLE HEALTH AUDRAIN INC
- **Authorized official:** AMY L OBRIEN (CEO)
- **Authorized official phone:** (573) 582-5000

## Contact information

- **Practice address:** 240 N. PICKERING STREET, MONTGOMERY CITY, MO 63361-1941
- **Practice address phone:** (573) 564-2101
- **Practice address fax:** (573) 564-2130
- **Mailing address:** 240 N. PICKERING STREET, MONTGOMERY CITY, MO 63361-1941
- **Mailing address phone:** (573) 564-2101
- **Mailing address fax:** (573) 564-2130

## Taxonomy

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

## Other

- **Enumeration date:** 01/27/2021
- **Last updated:** 06/23/2022