| NPI | 1043796733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DUKES CEO & President 270-754-3494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2026-01-27 |