Organization
RURAL HEALTHCARE PROVIDERS INC.
Active
Other names
Sparta Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA HELMS (MANAGER)
(417) 634-3000
Entity
Organization
Contact information
Practice address
515 HUGH AVE, SPARTA, MO 65753-0449
(417) 634-3000
(417) 634-3001
Mailing address
PO BOX 449, SPARTA, MO 65753-0449
(417) 634-3000
(417) 634-3001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2002008186
MO
207Q00000X
Family Medicine Physician
DO36478
MO
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
593917701
—
MO
Enumeration date
10/24/2006
Last updated
05/20/2014
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