NPI | 1245643972 |
---|---|
Doing Business As | JCHC PROVIDER SERVICES |
Entity Type | Organization |
Authorized Contact | LARRY PEACH CFO 641-469-4304 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 510063H) |
Enumeration Date | 2014-06-10 |
Last Update Date | 2020-02-26 |