| NPI | 1245544923 |
|---|---|
| Doing Business As | MGH RURAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | ELMORE PATTERSON Chief Executive Officer 318-283-3602 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2025-01-03 |