NPI | 1093758161 |
---|---|
Doing Business As | GLENROCK HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MELANIE CIELINSKI Administrator 307-436-9206 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2006-06-14 |
Last Update Date | 2019-12-04 |