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Organization

AUDRAIN COUNTY HEALTH CENTER

Active
Other names
Audrain County Health Department Home Health and Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PATRICIA BURKE M.D. (BOARD CHAIRPERSON)
(573) 581-1332
Entity
Organization

Contact information

Practice address
1130 S ELMWOOD, BOX 957, MEXICO, MO 65265-0957
(573) 581-1332
(573) 581-6652
Mailing address
1130 S ELMWOOD, P.O. BOX 957, MEXICO, MO 65265-0957
(573) 581-1332
(573) 581-6652

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
739-2
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
580563906
MO
Enumeration date
11/04/2005
Last updated
12/05/2013
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