NPI | 1376129296 |
---|---|
Doing Business As | PETERSON COMMUNITY CARE CLINIC RHC |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER L BALLESTEROS Rev Cycle Director, Privacy Officer 830-258-7343 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2021-03-22 |
Last Update Date | 2023-03-11 |