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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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