Organization
WESTERN JOHNSON COUNTY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY BLAYLOCK (OFFICE MANAGER)
(816) 597-3500
Entity
Organization
Contact information
Practice address
305 E PACIFIC ST, KINGSVILLE, MO 64061-2512
(816) 597-3500
(816) 597-3555
Mailing address
305 E PACIFIC ST, KINGSVILLE, MO 64061-2512
(816) 597-3500
(816) 597-3555
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
09/07/2007
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