NPI | 1407072754 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA L EAST SVP, CFO 269-341-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MI 1060000042) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MI 800020) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2023-11-27 |