NPI | 1326030974 |
---|---|
Other Name | WAGNER COMMUNITY CLINIC |
Entity Type | Organization |
Authorized Contact | BRYAN SLABA CEO 605-384-3611 |
Organization Subpart ? | No |
Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: SD 10571) |
Enumeration Date | 2005-08-19 |
Last Update Date | 2017-03-07 |