Organization
PETTIS COUNTY HEALTH CENTER
Active
Other names
Pettis County Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANN F MARTIN APRN, CPNP, MSN RN (ADMINISTRATOR)
(660) 827-1130
Entity
Organization
Contact information
Practice address
911 E 16TH ST, SEDALIA, MO 65301-7733
(660) 827-1130
(660) 827-1141
Mailing address
911 E 16TH ST, SEDALIA, MO 65301-7733
(660) 827-1130
(660) 827-1141
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
N/A
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
512095704
—
MO
Enumeration date
03/07/2006
Last updated
03/22/2012
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