Organization
SOUTHEAST HEALTH CENTER OF REYNOLDS COUNTY, LLC
Active
Other names
SoutheastHEALTH Family Medicine of Ellington
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA E HARRIS (VICE PRESIDENT REGIONAL OPERATIONS)
(573) 778-0020
Entity
Organization
Contact information
Practice address
350 E WALNUT ST, ELLINGTON, MO 63638-7943
(573) 663-2571
(573) 663-2779
Mailing address
100 HIGHWAY 21 N, ELLINGTON, MO 63638-9409
(573) 663-2511
(573) 663-2815
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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