Organization
SIKESTON RURAL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY COLE (OWNER)
(573) 471-0466
Entity
Organization
Contact information
Practice address
1226 LINN ST, SUITE B, SIKESTON, MO 63801-5200
(573) 472-3700
Mailing address
1226 LINN ST, SUITE B, SIKESTON, MO 63801-5200
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2011
Last updated
06/29/2011
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