| NPI | 1376618348 |
|---|---|
| Doing Business As | MAIN |
| Entity Type | Organization |
| Authorized Contact | RONALD SAAL CFO 316-262-2415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2021-03-22 |