Organization Name: | ST. CLAIR COUNTY HOSPITAL DISTRICT NO. 1 |
NPI Number: | 1134304603 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALMA F RODABAUGH (BUSINESS OFFICE MANAGET) |
Mailing Address: | 700 Giesler Rd Osceola |
State: | MO US |
Postal Code: | 647766279 |
Phone Number: | 4176468181 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2008 |
NPI Last Update Date: | 01/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |