| NPI | 1124634993 |
|---|---|
| Doing Business As | AMBERWELL HIAWATHA PRIMARY CARE CLINIC - WEST CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEFF R PERRY CEO 785-742-6283 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2022-02-07 |