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Organization
MIDWEST DIVISION-LSH.LLC
Active
Organization
MIDWEST DIVISION-LSH.LLC
Active
Other names
Holden Family Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LEARY (CHIEF FINANCIAL OFFICER)
(816) 969-6533
Entity
Organization
Contact information
Practice address
807 W 2ND ST, HOLDEN, MO 64040-1291
(816) 850-3612
(816) 850-3982
Mailing address
807 W 2ND ST, HOLDEN, MO 64040-1291
(816) 850-3612
(816) 850-3982
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/14/2007
Last updated
08/19/2008
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