NPI | 1003473554 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN BARTA CEO 620-222-6204 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2019-05-21 |
Last Update Date | 2023-04-25 |