| NPI | 1134586811 |
|---|---|
| Doing Business As | CCMH MEDICAL CLINIC - CITY CENTER |
| Entity Type | Organization |
| Authorized Contact | BILLY J BRUCE Chief Executive Officer 712-265-2502 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: IA 240173H) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207Q00000X Family Medicine | |
| 364SF0001X Clinical Nurse Specialist, Family Health | |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2017-04-18 |