Organization
COUNTY OF MCDONALD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAIGE A BEHM (ADMINISTRATOR)
(417) 223-4351
Entity
Organization
Contact information
Practice address
500 OLIN ST, PINEVILLE, MO 64856-0366
(417) 223-4351
(417) 223-4109
Mailing address
500 OLIN ST, PO BOX 366, PINEVILLE, MO 64856
(417) 223-4351
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510564017
—
MO
Enumeration date
03/21/2007
Last updated
10/29/2013
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