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Organization

MANSFIELD CLINIC, INC.

Active
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Organization

MANSFIELD CLINIC, INC.

Active
Parent organization
MANSFIELD CLINIC, INC.
Other names
PRIME CARE OF AVA
Organization subpart
Yes

Provider details

NPI number
Legal business name
MANSFIELD CLINIC, INC.
Authorized official
DR. KENNETH H DUGAN M.D. (VICE PRESIDENT)
(417) 924-3066
Entity
Organization

Contact information

Practice address
120 SW 2ND AVENUE, AVA, MO 65608
(417) 683-6790
(417) 683-6770
Mailing address
PO BOX 108, MANSFIELD, MO 65704-0108
(417) 924-3066
(417) 924-3925

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL

Other

Enumeration date
05/18/2006
Last updated
04/21/2011
About Stedi
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