Organization
DALE FAMILY MEDICINE
Active
Other names
Eminence Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY D LEDBETTER (DIRECTOR OF OPERATIONS)
(573) 651-4488
Entity
Organization
Contact information
Practice address
106 HIGHWAY WEST, EMINENCE, MO 65466
(573) 226-5216
Mailing address
HWY 106 WEST, EMINENCE, MO 65466
(573) 226-5216
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
598235703
—
MO
Enumeration date
04/23/2008
Last updated
04/23/2008
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