# DEXTER HOSPTIAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MSH MALDEN CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346301504
- **Authorized official:** SUE ANN WILLIAMS (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (573) 624-1640

## Contact information

- **Practice address:** 1707 N DOULGAS, MALDEN, MO 63863
- **Practice address phone:** (573) 276-6488
- **Mailing address:** PO BOX 368, DEXTER, MO 63841
- **Mailing address phone:** (573) 624-3165
- **Mailing address fax:** (573) 624-3157

## Taxonomy

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

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 08/22/2020
