| NPI | 1386912152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA M PEIRCE Manager Patient Accounts 989-356-7597 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2022-10-18 |