| NPI | 1245712942 |
|---|---|
| Doing Business As | PRAIRIE CITY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT D. KROESE CEO 641-628-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2021-11-09 |