| NPI | 1386716710 |
|---|---|
| Doing Business As | SOUTH LINCIOLN MEDICAL CLINIC |
| Doing Business As | SOUTH LINCOLN MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KARL E SUNDBERG CEO 307-877-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: WY 06-148) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-03-03 |