Organization
REGIONAL HEALTH CARE CLINIC, INC
Active
Organization
REGIONAL HEALTH CARE CLINIC, INC
Active
Other names
Katy Trail Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WALLER (CEO)
(660) 310-0809
Entity
Organization
Contact information
Practice address
305 W MAIN ST, SEDALIA, MO 65301-3821
(660) 310-0909
(888) 979-8868
Mailing address
821 WESTWOOD DR, SEDALIA, MO 65301-2102
(660) 826-4774
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
02/21/2024
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