CRIDER HEALTH CENTERINC NPI 1790970721

NPI Information

CRIDER HEALTH CENTER,INC is a federally qualified health center (fqhc) clinic center in Washington, MO. CRIDER HEALTH CENTER,INC NPI is 1790970721. The provider is registered as an organization entity type.

The provider's business location address is:

416 MARKET ST
WASHINGTON, MO
ZIP 63090-610
Phone: (636) 239-8397

The provider's authorized official is Laura Heebner .
The authorized official title is Sen Vp Coo and has the following contact phone number (636) 332-8000.

The enumeration date for this NPI number is 9/12/2007 and was last updated on 5/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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