Jesse D Helton
Clinic/Center, Rural Health in House Springs, MO. Organization (NPI-2).
NPI number1235103003
StatusActive
Last updated in NPPESAug 14, 2008
Details
- NPI
- 1235103003
- Entity type
- Organization (NPI-2)
- Legal business name
- Jesse D Helton
- Organization subpart
- No
- Enumeration date
- Feb 16, 2006
- Last updated
- Aug 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | MO | Yes |
| 207Q00000X | Family Medicine | 2006025334 | MO | |
| 207Q00000X | Family Medicine | R6F69 | MO | |
| 207R00000X | Internal Medicine | DO113093 | MO |
Other names
- Byrnes Mill Medical Center (Doing Business As)
Practice location
100 Osage Executive CirHouse Springs, MO 63051-1382
Phone 636-677-9977 · Fax 636-677-9179
Mailing address
100 Osage Executive CirHouse Springs, MO 63051-1382
Phone 636-677-9977 · Fax 636-677-9179
Authorized official
Jesse Dwayne Helton
Owner
6366779977
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