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Jefferson Medical Group
Rural Health Clinic/Center in Hale, Missouri
NPI 1760772743

Jefferson Medical Group is a Rural Health Clinic/Center based in Carrollton, MO and is specialized in Rural Health. Jefferson Medical Group practices in Hale, MO. The NPI Number for Jefferson Medical Group is 1760772743 and holds a License No. (Missouri).

The current practice location address for Jefferson Medical Group is 221 Elm St, Hale, MO and can be reached out via phone at 660-565-2602 and via fax at 660-565-2604.

Location: 221 Elm St, Hale, MO, 64633-1948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760772743
Provider Name
Jefferson Medical Group
Credential
Provider Entity Type
Organization
Address
221 Elm St, Hale, MO, 64633-1948
Phone Number
660-565-2602
Fax Number
660-565-2604
Provider Enumeration Date
04/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
596548800 05 MO
institution
Provider Business Practice Location Address Details
Address
221 Elm St
City
Hale
State
Missouri
Zip
64643-7113
Phone Number
660-565-2602
Fax Number
660-565-2604
person
Provider Business Mailing Address Details
Address
221 Elm St
City
Hale
State
Missouri
Zip
64643-7113
Phone Number
660-565-2602
Fax Number
660-565-2604
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
(Missouri)
Definition
Definition to come...
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