| Organization Name: | WHITE OAK MEDICAL, INC |
| NPI Number: | 1659455806 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAISY R MCBEE (CLINIC ADMINISTRATOR) |
| Mailing Address: | 201 Main Street Crane |
| State: | MO US |
| Postal Code: | 65633 |
| Phone Number: | 4172720066 |
| Fax Number: | 4172723224 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 01/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 00013475 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |