Organization
SPECTRUM HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA WOOFTER (PROGRAM MANAGER)
(573) 514-7312
Entity
Organization
Contact information
Practice address
1123 WILKES BLVD STE 110, COLUMBIA, MO 65201-4774
(573) 514-7312
(573) 242-6427
Mailing address
1123 WILKES BLVD STE 100, COLUMBIA, MO 65201-4774
(573) 514-7312
(573) 242-6336
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063785442
—
MO
Enumeration date
02/16/2012
Last updated
01/05/2024
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