| NPI | 1285108621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. SCHIFANO CEO 618-997-5266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2024-07-11 |