| NPI | 1013948868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM W HAYNIE President 660-679-3118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2009-05-19 |