| NPI | 1518044692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN RING President & CEO 765-521-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 261Q00000X Clinic/Center | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-08-17 |