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Contact Information

KATIE COMMUNITY HEALTH CENTER, LLC
143 MILL STREET
RAYMONDVILLE, MO65555
 Phone: 417-299-0753
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KATIE COMMUNITY HEALTH CENTER, LLC

NPI Number 1295053957
LBN Legal business name KATIE COMMUNITY HEALTH CENTER, LLC
Authorized official PATRICIA DEWITT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/05/2010
Last updated 05/05/2010 - About 16 years ago
Identifiers
MO License # 2003003711
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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