Organization
HEALTHMONT OF MISSOURI LLC
Active
Organization
HEALTHMONT OF MISSOURI LLC
Active
Other names
DBA Callaway Community Hospital DBA Speciality Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C. DEATON (CFO)
(573) 592-6521
Entity
Organization
Contact information
Practice address
850 W HOSPITAL DR, SUITE F, FULTON, MO 65251-2535
(573) 642-5338
(573) 642-9224
Mailing address
850 W HOSPITAL DR, SUITE F, FULTON, MO 65251-2535
(573) 642-8280
(573) 642-4686
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/22/2009
Last updated
03/28/2012
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