| NPI | 1437283991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER DAWSON Office Manager 620-326-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: KS 173819) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-05-08 |