Organization Name: | WAYNE COUNTY HEALTH CENTER |
NPI Number: | 1386610145 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAE J CRUTCHFIELD (ADMINISTRATOR) |
Mailing Address: | 115 Hickory St Greenville |
State: | MO US |
Postal Code: | 639440259 |
Phone Number: | 5732243218 |
Fax Number: | 5732243164 |
NPI Enumeration Date: | 02/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |