Organization
NEVADA MEDICAL CLINIC L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DAVID HARMS (ADMINISTRATOR)
(417) 667-6015
Entity
Organization
Contact information
Practice address
900 S ADAMS ST, NEVADA, MO 64772-3210
(417) 667-6015
(417) 667-4234
Mailing address
900 S ADAMS ST, NEVADA, MO 64772-3210
(417) 667-6015
(417) 667-4234
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500921101
—
MO
Enumeration date
12/30/2015
Last updated
12/30/2015
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