# JESSE D HELTON

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

## Provider details

- **NPI number:** 1235103003
- **Authorized official:** JESSE DWAYNE HELTON DO (OWNER)
- **Authorized official phone:** (636) 677-9977

## Contact information

- **Practice address:** 100 OSAGE EXECUTIVE CIR, HOUSE SPRINGS, MO 63051-1382
- **Practice address phone:** (636) 677-9977
- **Practice address fax:** (636) 677-9179
- **Mailing address:** 100 OSAGE EXECUTIVE CIR, HOUSE SPRINGS, MO 63051-1382
- **Mailing address phone:** (636) 677-9977
- **Mailing address fax:** (636) 677-9179

## 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
