| NPI | 1164175220 |
|---|---|
| Doing Business As | VILLAGE COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | RAMON NOLA Owner 316-208-1871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2022-01-29 |
| Last Update Date | 2024-05-22 |