Organization
ST CLAIR COUNTY HEALTH CENTER
Active
Other names
OSCEOLA PUBLIC HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY MARY STEPHAN (CFO/ADMINISTRATOR)
(417) 646-8157
Entity
Organization
Contact information
Practice address
530 ARDUSER DR, OSCEOLA, MO 64776-6284
(417) 646-8157
(417) 646-8159
Mailing address
530 ARDUSER DR, OSCEOLA, MO 64776-6284
(417) 646-8157
(417) 646-8159
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
96-21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
511936601
—
MO
Enumeration date
05/10/2006
Last updated
06/15/2011
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