| NPI | 1053369074 |
|---|---|
| Doing Business As | THE CLINIC AT ELMA |
| Entity Type | Organization |
| Authorized Contact | SHELDON RAY COFFEY VP Reimbursement 615-764-3009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: WA H-197) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2012-12-03 |