| NPI | 1447696877 |
|---|---|
| Other Name | CUSTER COUNTY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TERRY NIMNICHT CEO 719-783-2380 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |