# AGAPE PRIMARY CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861619025
- **Authorized official:** DR. R RANDALL SUKMAN M.D. (OWNER)
- **Authorized official phone:** (417) 339-3033

## Contact information

- **Practice address:** 2331 S BUSINESS HIGHWAY 65, HOLLISTER, MO 65672-5105
- **Practice address phone:** (417) 339-3033
- **Practice address fax:** (417) 339-9133
- **Mailing address:** 2331 S BUSINESS HIGHWAY 65, HOLLISTER, MO 65672-5105
- **Mailing address phone:** (417) 339-3033
- **Mailing address fax:** (417) 339-9133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 109959 | MO | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 10/18/2010