| Noble Health Audrain Inc | |
| 
					201 S. Main Street Auxvasse MO 65231-1624  | |
| (573) 386-5959 | |
| (573) 386-5995 | 
| Full Name | Noble Health Audrain Inc | 
|---|---|
| Speciality | Clinic/center - Rural Health | 
| Location | 201 S. Main Street, Auxvasse, Missouri | 
| Authorized Official Name and Position | Amy L Obrien (CEO) | 
| Authorized Official Contact | 5735825000 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Noble Health Audrain Inc 201 S. Main Street Auxvasse MO 65231-1624 Ph: (573) 386-5959  | Noble Health Audrain Inc 201 S. Main Street Auxvasse MO 65231-1624 Ph: (573) 386-5959  | 
| NPI Number | 1184209538 | 
|---|---|
| Provider Enumeration Date | 03/16/2021 | 
| Last Update Date | 06/23/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184209538 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary | 
Family Healthcare Of Auxvasse Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 S Main St, Auxvasse, MO 65231 Phone: 573-386-5959 Fax: 573-386-5995  |