NPI | 1518107044 |
---|---|
Doing Business As | I-70 MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | JENNIFER L MCCUTCHEON CEO 660-335-4700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2009-02-24 |
Last Update Date | 2019-01-16 |