NPI:
1194019521
Provider Name:
PREVENTIVE HEALTHCARE
Former Legal Business Name: NATURAL HEALING CENTERS, LLC
Classification:
Clinic/Center - 261QP2300X
Entity Type:
Organization
Specialization: Primary Care
Address:
201 N JEFFERSON ST
SUITE D
SAINT JAMES, MO
ZIP 65559
Phone:
(573) 265-0911
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PREVENTIVE HEALTHCARE is a primary care clinic center in Saint James, MO. PREVENTIVE HEALTHCARE NPI is 1194019521. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Natural Healing Centers, Llc.
The provider's business location address is:
201 N JEFFERSON ST
SUITE D
SAINT JAMES, MO
ZIP 65559-919
Phone: (573) 265-0911
Fax: (573) 265-0912
The provider's authorized official is Brent K Caudill .
The authorized official title is Owner/doctor and has the following contact phone number (573) 265-0911.
The enumeration date for this NPI number is 6/2/2011 and was last updated on 9/1/2011.