| NPI | 1164464525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE RUYLE Assistant Administrator 620-442-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2010-12-08 |