# ST. CLAIR COUNTY HOSPITAL DISTRICT \#1

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Area Primary Care Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386728798
- **Authorized official:** MARY C SMILEY (CEO)
- **Authorized official phone:** (417) 646-8181

## Contact information

- **Practice address:** HWY 54 EAST, WHEATLAND, MO 65779
- **Practice address phone:** (417) 282-5882
- **Practice address fax:** (417) 282-5681
- **Mailing address:** HWY 54 EAST, WHEATLAND, MO 65779-7501
- **Mailing address phone:** (417) 282-5882
- **Mailing address fax:** (417) 282-5681

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 04/09/2014