| NPI | 1427081041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J VAN DER WEGE Chief Executive Officer 785-227-3308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-03-07 |