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NPI Code Detail

MEDICARE: WHITE OAK MEDICAL, INC

MEDICARE: WHITE OAK MEDICAL, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR1300XRural Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285806703
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHITE OAK MEDICAL, INC
Provider Business Mailing Address
First Line : PO BOX 2032
Second Line :
City : BRANSON WEST
State : MO
Zip : 65737-2032
Country : US
Telephone Number : 417-294-2279
Fax Number : 417-723-0228
Provider Business Practice Location Address
First Line : 11016 STATE HIGHWAY 76
Second Line : CLAYBOUGH PLAZA, STE 6
City : BRANSON WEST
State : MO
Zip : 65737-9775
Country : US
Telephone Number : 417-272-0505
Fax Number : 417-272-3020
Authorized Official
Title or Position : CLINIC ADMINISTRATOR
Name : DAISY R MCBEE
Credential :
Telephone Number : 417-294-2279
Provider Enumeration Date : 03/25/2008
Last Update Date : 06/16/2009

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Directions to “WHITE OAK MEDICAL, INC ” Practice Location

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