Organization
DEVOE SMITH MEDICAL FOUNDATION
Active
Other names
DEVOE SMITH FREE HEALTHCARE CLINIC, DEVOE SMITH FREE HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONJA JEANNE BOLLING FNP (BOARD MEMBER/ PROVIDER)
(209) 352-1881
Entity
Organization
Contact information
Practice address
400 GALAXIE AVE, HARRISONVILLE, MO 64701-2077
(210) 317-1375
Mailing address
400 GALAXIE AVE, HARRISONVILLE, MO 64701-2077
(888) 652-4286
(888) 710-5288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396150496
ALL OTHER
MO
05
—
1396150496
—
MO
Enumeration date
05/26/2023
Last updated
10/22/2025
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