OrganizationActive
Boone Physician Services, LLC
NPI 1619648532 · Rural Health Clinic/Center · Centralia, MO
Provider details
- NPI number
- 1619648532
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Brian Winn, Director of Finance
Practice location
1021 E Highway 22
Centralia, MO 65240-1183
Phone: (573) 682-5588
Fax: (573) 682-1539
Mailing address
1021 E Highway 22
Centralia, MO 65240-1183
Registry dates
- Enumerated
- 2021-09-21
- Last updated
- 2021-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.