Organization
REGIONAL HEALTH CARE CLINIC
Active
Other names
Katy Trail - Dental - Warsaw
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WALLER (CEO)
(660) 438-2717
Entity
Organization
Contact information
Practice address
17571 N DAM ACCESS RD, WARSAW, MO 65355-6396
(660) 438-2595
(660) 438-2313
Mailing address
821 WESTWOOD DR, SEDALIA, MO 65301-2102
(660) 826-4774
(660) 826-1300
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/20/2010
Last updated
02/21/2024
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