NPI | 1245544923 |
---|---|
Doing Business As | MGH RURAL HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | MARK KIMBALL Chief Executive Officer 318-283-3601 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2010-08-05 |
Last Update Date | 2024-05-21 |