Organization
REGIONAL HEALTH CARE CLINIC, INC.
Active
Other names
Katy Trail - Green Ridge R-VIII
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WALLER (CEO)
(877) 733-5824
Entity
Organization
Contact information
Practice address
401 W PETTIS ST, GREEN RIDGE, MO 65332-1160
(877) 733-5824
(888) 979-8868
Mailing address
821 WESTWOOD DR, SEDALIA, MO 65301-2102
(660) 826-4774
(660) 826-1300
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
02/21/2024
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