Organization
THEODOSIA FAMILY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A SCHOFIELD (OWNER OF CLINIC)
(417) 273-2300
Entity
Organization
Contact information
Practice address
4900 ST HWY. 160, SUITE 2, THEODOSIA, MO 65761-6539
(417) 273-2300
(417) 273-2316
Mailing address
4900 ST HWY 160, SUITE 2, THEODOSIA, MO 65761-6539
(417) 273-2300
(417) 273-2316
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2012
Last updated
09/04/2013
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