NPI | 1417450115 |
---|---|
Other Name | RHC |
Entity Type | Organization |
Authorized Contact | SHELBY WALLING Credentialing 920-563-4466 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine |
207V00000X Obstetrics & Gynecology | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2018-03-09 |
Last Update Date | 2022-10-07 |