Healthcare Provider Details

I. General information

NPI: 1588796908
Provider Name (Legal Business Name): QUALITY HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 08/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 N STATE ST SUITE C
DESLOGE MO
63601-3052
US

IV. Provider business mailing address

330 N STATE ST SUITE C
DESLOGE MO
63601-3052
US

V. Phone/Fax

Practice location:
  • Phone: 573-431-2829
  • Fax: 573-431-7186
Mailing address:
  • Phone: 573-431-2829
  • Fax: 573-431-7186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DONNA K. THURSTON
Title or Position: ADMINISTRATOR
Credential:
Phone: 573-431-5177