NPI | 1427300201 |
---|---|
Doing Business As | SHENANDOAH PHYSICIANS CLINIC |
Entity Type | Organization |
Authorized Contact | KAREN COLE CEO 712-246-1230 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: IA 730065H) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 730065H) |
207R00000X Internal Medicine (Licence: IA 730065H) | |
Enumeration Date | 2012-10-04 |
Last Update Date | 2012-12-17 |