| NPI | 1093758161 |
|---|---|
| Doing Business As | GLENROCK HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | ASHLEY MARIE OVIEDO-LOPEZ 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 | 2025-01-29 |