| NPI | 1104893700 |
|---|---|
| Doing Business As | CCMH MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ERIN C MUCK President/CEO 712-265-2506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208600000X Surgery | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2024-08-05 |