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Organization

BOLLINGER COUNTY HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUANITA WELKER (ADMINISTRATOR)
(573) 238-2817
Entity
Organization

Contact information

Practice address
107 HWY 51 N, MARBLE HILL, MO 63764-0409
(573) 238-2817
(573) 238-3085
Mailing address
PO BOX 409, 107 HWY 51N, MARBLE HILL, MO 63764-0409
(573) 238-2817
(573) 238-3085

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
510903701
MO
Enumeration date
02/21/2006
Last updated
11/19/2012
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