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Organization
JEFFERSON MEDICAL GROUP
Active
Organization
JEFFERSON MEDICAL GROUP
Active
Other names
Jefferson Medical Group Hale Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DANIELLE IRELAND (CFO)
(660) 329-6005
Entity
Organization
Contact information
Practice address
221 ELM ST, HALE, MO 64643-7113
(660) 565-2602
(660) 565-2604
Mailing address
1502 N JEFFERSON ST, CARROLLTON, MO 64633-1948
(660) 542-9998
(660) 542-9880
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
Other
Enumeration date
04/12/2011
Last updated
10/29/2021
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