Organization Name: | WHITE OAK MEDICAL, INC |
NPI Number: | 1962415828 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAISY R MCBEE (CLINIC ADMINISTRATOR) |
Mailing Address: | Hc 81 Box 8021 Cassville |
State: | MO US |
Postal Code: | 656258102 |
Phone Number: | 4178475800 |
Fax Number: | 4178475804 |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 06/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 263872 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |