| NPI | 1497766000 |
|---|---|
| Doing Business As | CLINICO RURAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | KERRI LEE ELLIS Owner/Administrator 918-367-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 364SF0001X Clinical Nurse Specialist Family Health | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2021-09-30 |