Organization
PINNACLE REGIONAL HOSPITAL,LLC
Active
Other names
Cooper County Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SKANES (CREDENTIALING CONTACT)
(660) 882-7461
Entity
Organization
Contact information
Practice address
17601 B HWY, BOONVILLE, MO 65233
(660) 882-7461
(660) 882-6093
Mailing address
17651 B HWY, BOONVILLE, MO 65233-2839
(660) 882-7461
(660) 882-6093
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
598132702
—
MO
Enumeration date
03/14/2007
Last updated
05/23/2019
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