Organization
TAMMY HART, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY K HART M.D. (PRESIDENT)
(660) 748-4040
Entity
Organization
Contact information
Practice address
400 N FULLERTON ST, PRINCETON, MO 64673-1418
(660) 748-4040
(660) 748-4042
Mailing address
400 N FULLERTON ST, PRINCETON, MO 64673-1418
(660) 748-4040
(660) 748-4042
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
100333
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22235016
BCBS
MO
01
—
240969
FREEDOM NETWORK
MO
05
—
593909203
—
MO
Enumeration date
05/08/2007
Last updated
01/22/2008
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