| NPI | 1205402195 |
|---|---|
| Other Name | QUINCY MEDICAL GROUP KAHOKA AFFILIATE |
| Entity Type | Organization |
| Authorized Contact | PATTY WOERMAN Credentialing Specialist 217-222-6550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-12-20 |