Organization
AREA COMMUNITY HEALTH EMISSARIES, INC.
Active
Other names
ACHE Dental
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS C JAY (GRANT MANAGER)
(417) 845-2243
Entity
Organization
Contact information
Practice address
508 W 76 HWY, ANDERSON, MO 64831
(417) 845-2243
(417) 845-2533
Mailing address
PO BOX 1136, ANDERSON, MO 64831-1136
(417) 845-2243
(417) 845-2533
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
110
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401467311
—
MO
05
—
401786215
—
MO
05
—
407479906
—
MO
05
—
748308707
—
MO
05
—
749331708
—
MO
Enumeration date
03/07/2007
Last updated
06/21/2016
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