Organization
CLINTON NO 1 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD B BEDELL (PRESIDENT)
(573) 471-1276
Entity
Organization
Contact information
Practice address
1009 E OHIO ST, CLINTON, MO 64735-2455
(660) 885-5571
Mailing address
PO BOX 1210, SIKESTON, MO 63801-1210
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
046098
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101482602
—
MO
Enumeration date
07/07/2006
Last updated
03/05/2018
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