| NPI | 1316927445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SALMONSON CFO 712-794-5424 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 208D00000X General Practice (Licence: IA 140090H) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2023-09-29 |