Provider Demographics
NPI:1730414178
Name:RURAL ALLIANCE FOR BETTER FAMILY HEALTH
Entity type:Organization
Organization Name:RURAL ALLIANCE FOR BETTER FAMILY HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-264-2990
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:417-255-9732
Practice Address - Street 1:9394 US 63
Practice Address - Street 2:
Practice Address - City:THAYER
Practice Address - State:MO
Practice Address - Zip Code:65791-9448
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:2009-10-02
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty