# DEXTER HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Clinic At Walmart
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427350594
- **Authorized official:** MRS. SUEANN WILLIAMS (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (573) 624-1640

## Contact information

- **Practice address:** 2025 W BUS HWY 60, DEXTER, MO 63841
- **Practice address phone:** (573) 624-7575
- **Practice address fax:** (573) 624-6399
- **Mailing address:** 1300 N ONE MILE RD, PO BOX 368, DEXTER, MO 63841-1042
- **Mailing address phone:** (573) 624-2171
- **Mailing address fax:** (573) 624-3157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/23/2010
- **Last updated:** 11/23/2010