| NPI | 1114438579 |
|---|---|
| Doing Business As | JOHNSON NICHOLS HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROGER S BORUFF Authorized Official 765-655-2620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QF0050X Clinic/Center Family Planning, Non-Surgical |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2018-02-15 |