Organization Name: | WILLOW HEALTH CARE INC |
NPI Number: | 1184625782 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHERRY MILLER (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 2642 State Route 76 Willow Springs |
State: | MO US |
Postal Code: | 657938254 |
Phone Number: | 4174690204 |
Fax Number: | 4174693443 |
NPI Enumeration Date: | 08/03/2005 |
NPI Last Update Date: | 07/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |