| NPI | 1457353674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK ALLEN MOORHEAD Owner/Physician 620-325-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: KS 178917) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: KS 04-13549) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2010-01-22 |