| NPI | 1497298483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS LAKEY CFO 530-336-7512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC0050X Clinic/Center, Critical Access Hospital |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2024-06-14 |