Organization
BOONE PHYSICIAN SERVICES, LLC
Active
Other names
Centralia Family Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LEE WINN (DIRECTOR OF FINANCE)
(573) 815-3269
Entity
Organization
Contact information
Practice address
1021 E HIGHWAY 22, CENTRALIA, MO 65240-1183
(573) 682-5588
(573) 682-1539
Mailing address
1021 E HIGHWAY 22, CENTRALIA, MO 65240-1183
(573) 682-5588
(573) 682-1539
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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