Provider Demographics
NPI:1164488680
Name:RURAL ALLIANCE FOR BETTER FAMILY HEALTH
Entity Type:Organization
Organization Name:RURAL ALLIANCE FOR BETTER FAMILY HEALTH
Other - Org Name:SOUTHERN MISSOURI COMMUNITY HEALTH CENTER THAYER CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-255-8464
Mailing Address - Street 1:1137 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-4221
Mailing Address - Country:US
Mailing Address - Phone:417-255-8464
Mailing Address - Fax:417-255-9741
Practice Address - Street 1:RR 3 BOX 3707
Practice Address - Street 2:
Practice Address - City:THAYER
Practice Address - State:MO
Practice Address - Zip Code:65791-9306
Practice Address - Country:US
Practice Address - Phone:417-264-2990
Practice Address - Fax:417-264-2993
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RURAL ALLIANCE FOR BETTER FAMILY HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-04-24
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)