| NPI | 1487631156 |
|---|---|
| Doing Business As | COMMUNITY CLINIC OF BEAVER |
| Entity Type | Organization |
| Authorized Contact | BRENT MEYERS Administrator 580-625-4551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OK 2242) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2010-04-15 |