| NPI | 1447581871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE WHEATLEY Chief Executive Officer 270-465-3561 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: KY 900046) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2016-12-28 |