| NPI | 1124097795 |
|---|---|
| Doing Business As | TRI STATE RURAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | JANET STACY Administrator 276-935-8620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2010-03-09 |