Organization Name: | OZARK TRI COUNTY HEALTH CARE CONSORTIUM |
NPI Number: | 1043250905 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD M MCBRIDE (CEO) |
Mailing Address: | 927 N Business 71 Anderson |
State: | MO US |
Postal Code: | 648319753 |
Phone Number: | 4178452273 |
Fax Number: | 4178450094 |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 11/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |