Organization Name: | SCHEIDLER RURAL HEALTH CLINIC |
NPI Number: | 1033384870 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY D LEDBETTER (DIRECTOR OF OPERATIONS) |
Mailing Address: | 304 Teaco Rd Suite F Kennett |
State: | MO US |
Postal Code: | 638573266 |
Phone Number: | 5738880900 |
Fax Number: | 5738889588 |
NPI Enumeration Date: | 04/23/2008 |
NPI Last Update Date: | 04/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |