Organization
AUDRAIN HEALTH CARE, INC
Active
Other names
Audrain Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A NEUENDORF (PRESIDENT CEO)
(573) 582-5000
Entity
Organization
Contact information
Practice address
620 E MONROE ST, MEXICO, MO 65265-2919
(573) 582-5000
Mailing address
620 E MONROE ST, MEXICO, MO 65265-2919
(573) 582-5000
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
36-50
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36-50
STATE LICENSE NUMBER
MO
Enumeration date
02/15/2007
Last updated
08/22/2020
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