| NPI | 1528017662 |
|---|---|
| Doing Business As | CENTERVILLE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | GEORGIA POKORNEY Chief Executive Officer 605-326-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2012-01-04 |