Healthcare Provider Details

I. General information

NPI: 1437460896
Provider Name (Legal Business Name): MEDICAL MISSIONS FOR CHRIST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2010
Last Update Date: 06/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1974 N BUSINESS ROUTE 5
CAMDENTON MO
65020-2612
US

IV. Provider business mailing address

1974 N BUSINESS ROUTE 5
CAMDENTON MO
65020-2612
US

V. Phone/Fax

Practice location:
  • Phone: 573-346-7777
  • Fax:
Mailing address:
  • Phone: 573-346-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. CAROLYN A. STONER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 573-346-7777