| NPI | 1215543624 |
|---|---|
| Other Name | GREAT RIVER WOMEN'S CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRIS LEE RAYMER CEO 870-838-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |