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Organization

RICHLAND MEDICAL CENTER, INC.

Active
Other names
Central Ozarks Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL P BOCCI (CFO)
(314) 422-3617
Entity
Organization

Contact information

Practice address
304 W WASHINGTON AVE, RICHLAND, MO 65556-7101
(573) 765-5131
(573) 765-3122
Mailing address
PO BOX 777, RICHLAND, MO 65556-0777
(573) 765-5131
(573) 765-3122

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MO
261QF0400X
Federally Qualified Health Center (FQHC)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
501616726
MO
Enumeration date
06/07/2007
Last updated
04/08/2019
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