NPI | 1114196045 |
---|---|
Doing Business As | BELLE FOURCHE REGIONAL MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | LANA GROUT Administrator 605-642-8414 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2008-02-25 |
Last Update Date | 2008-02-26 |