Organization
ST CLAIR COUNTY HEALTH CENTER
Active
Other names
OSCEOLA RURAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY MARY STEPHAN (CFO/ADMINISTRATOR)
(417) 646-8157
Entity
Organization
Contact information
Practice address
530 ARDUSER DR, OSCEOLA, MO 64776-6284
(417) 646-8332
(417) 646-8159
Mailing address
530 ARDUSER DR, OSCEOLA, MO 64776-6284
(417) 646-8332
(417) 646-8159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R2903
MO
261QR1300X
Rural Health Clinic/Center
Primary
96-21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
597951300
—
MD
Enumeration date
05/04/2006
Last updated
08/29/2012
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