NPI | 1225801764 |
---|---|
Doing Business As | MADISON COUNTY OUTREACH CLINIC |
Entity Type | Organization |
Authorized Contact | REBEKAH KAY GILLESPIE CFO 515-462-5202 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2023-11-06 |
Last Update Date | 2023-11-06 |