Organization
BREECH REGIONAL MEDICAL CENTER
Active
Other names
St. John's Hospital - Lebanon, Home Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID E. WILHITE (BOARD CHAIR)
(417) 532-3177
Entity
Organization
Contact information
Practice address
1200 DEADRA DR, LEBANON, MO 65536-4669
(417) 588-9330
(417) 588-0217
Mailing address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(417) 588-9330
(417) 588-0217
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
2003026558
MO
Other
Enumeration date
09/07/2005
Last updated
08/22/2020
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