Organization
COUNTY BOARD OF TRUSTEES
Active
Other names
Reynolds County Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN ZIMMERMAN RN (ADMINISTRATOR)
(573) 648-2498
Entity
Organization
Contact information
Practice address
2323 GREEN ST, CENTERVILLE, MO 63633
(573) 648-2498
(573) 648-2510
Mailing address
2323 GREEN ST, P O BOX 40, CENTERVILLE, MO 63633
(573) 648-2498
(573) 648-2510
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
511969800
—
MO
Enumeration date
07/30/2006
Last updated
01/24/2011
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