| Organization Name: | REGIONAL HEALTH CARE CLINIC INC |
| NPI Number: | 1053533539 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRIS STEWART (EXECUTIVE DIRECTOR) |
| Mailing Address: | 17571 N Dam Access Rd Warsaw |
| State: | MO US |
| Postal Code: | 653556396 |
| Phone Number: | 6604382717 |
| Fax Number: | 6604382313 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 07/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |