| NPI | 1326566290 |
|---|---|
| Doing Business As | CARLE RMH PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | HARRY BROCKUS CEO 618-395-7340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2020-12-22 |