| NPI | 1144305731 |
|---|---|
| Doing Business As | BOGUE CHITTO SATELLITE CLINIC |
| Entity Type | Organization |
| Authorized Contact | PHYLLIS J ANDERSON Tribal Chief 601-656-2211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-06-15 |