Organization
JOHNSON COUNTY COMMUNITY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH K HALLER RN, BSN (ADMINISTRATOR)
(660) 747-6121
Entity
Organization
Contact information
Practice address
723 PCA RD, WARRENSBURG, MO 64093-7913
(660) 747-6121
(660) 747-6087
Mailing address
723 PCA RD, WARRENSBURG, MO 64093-7913
(660) 747-6121
(660) 747-6087
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510621907
—
MO
Enumeration date
03/25/2006
Last updated
12/05/2012
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