| NPI | 1154306884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY A. STRICKLER Director Of Operations 509-522-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2020-08-22 |