| NPI | 1114470010 |
|---|---|
| Doing Business As | CENTURA HEALTH CONVENIENT CARE |
| Entity Type | Organization |
| Authorized Contact | AMANDA R VAUGHAN Chief Financial Officer 620-272-2554 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-12-27 |