| NPI | 1376026237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG MARKS CEO 509-786-2222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2020-03-31 |