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Organization
BOONE PHYSICIAN SERVICES, LLC
Active
Organization
BOONE PHYSICIAN SERVICES, LLC
Active
Other names
Centralia Family Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LEE WINN (DIRECTOR OF FINANCE)
(573) 815-3269
Entity
Organization
Contact information
Practice address
1021 E HIGHWAY 22, CENTRALIA, MO 65240-1183
(573) 682-5588
(573) 682-1539
Mailing address
1021 E HIGHWAY 22, CENTRALIA, MO 65240-1183
(573) 682-5588
(573) 682-1539
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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