| NPI | 1194805267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON WHISENAND Chief Financial Officer 660-263-6643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2022-07-21 |