Organization
VALLEY MEDICAL CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM E BERNER (CLINIC ADMINISTRATOR)
(989) 892-7722
Entity
Organization
Contact information
Practice address
308 S HARRIS ST, WILLOW SPRINGS, MO 65793-1621
(417) 469-3175
(417) 469-1274
Mailing address
308 S HARRIS ST, WILLOW SPRINGS, MO 65793-1621
(417) 469-3175
(417) 469-1274
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508622206
—
MO
Enumeration date
11/21/2006
Last updated
07/28/2014
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