Organization
POLK COUNTY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE ANN MORRIS (ADMINISTRATOR)
(417) 326-7250
Entity
Organization
Contact information
Practice address
1317 W BROADWAY ST, BOLIVAR, MO 65613-1814
(417) 326-7250
(417) 326-2766
Mailing address
1317 W BROADWAY ST, PO BOX 124, BOLIVAR, MO 65613-1814
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
14328925
MO
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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