| NPI | 1174570386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J SUITER President Of Corporation 620-672-7415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2014-02-04 |