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Organization
WESTERN JOHNSON COUNTY MEDICAL CLINIC LLC
Active
Organization
WESTERN JOHNSON COUNTY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY BLAYLOCK (OFFICE MANAGER)
(816) 597-3500
Entity
Organization
Contact information
Practice address
305 E PACIFIC ST, KINGSVILLE, MO 64061-2512
(816) 597-3500
(816) 597-3555
Mailing address
305 E PACIFIC ST, KINGSVILLE, MO 64061-2512
(816) 597-3500
(816) 597-3555
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/27/2006
Last updated
09/07/2007
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