Organization
WAYNE MEDICAL CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ANDREW GAYLE M.D. (MEMBER)
(573) 223-4233
Entity
Organization
Contact information
Practice address
RR 4 BOX 4515, PIEDMONT, MO 63957-9417
(573) 223-4233
(573) 223-2136
Mailing address
RR 4 BOX 4515, PIEDMONT, MO 63957-9417
(573) 223-4233
(573) 223-2136
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263933
MEDICARE RURAL HEALTH
MO
05
—
595929901
—
MO
01
—
595929902
MEDICAID RURAL HEALTH
MO
Enumeration date
11/30/2005
Last updated
03/20/2013
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