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Ambulatory Health Care Facilities Clinic/Center Rural Health

Provider NPI: 1295241784

Organization Information:
Organization Name:  CBCH LLC
Organization is not Subpart
Authorized Official:  WILLIAM  MAHONEY  AUTHORIZED OFFICIAL  417-335-7270

Practice Location:
407 MAIN ST  GOLDEN CITY, MO 64748-8266 US
Tel: 417-537-4311  Fax: 417-537-4330

Business Mailing Address:
Tel: 417-269-3021  Fax: --

NPI Information:
NPI: 1295241784
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y261QR1300XAmbulatory Health Care Facilities
Rural Health

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 261QR1300X





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