| NPI | 1497754154 |
|---|---|
| Doing Business As | CHILDREN'S MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ANDRES R VILLAR Administrator 386-755-5044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2021-07-22 |