Provider Demographics
NPI:1437460896
Name:MEDICAL MISSIONS FOR CHRIST
Entity Type:Organization
Organization Name:MEDICAL MISSIONS FOR CHRIST
Other - Org Name:MEDICAL MISSIONS FOR CHRIST COMMUNITY HEALTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:STONER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-346-7777
Mailing Address - Street 1:1974 N BUSINESS ROUTE 5
Mailing Address - Street 2:
Mailing Address - City:CAMDENTON
Mailing Address - State:MO
Mailing Address - Zip Code:65020-2612
Mailing Address - Country:US
Mailing Address - Phone:573-346-7777
Mailing Address - Fax:
Practice Address - Street 1:1974 N BUSINESS ROUTE 5
Practice Address - Street 2:
Practice Address - City:CAMDENTON
Practice Address - State:MO
Practice Address - Zip Code:65020-2612
Practice Address - Country:US
Practice Address - Phone:573-346-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health