NPI | 1528052107 |
---|---|
Doing Business As | FAMILY MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | VANESSA K WAGNER CFO 870-886-1263 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2005-09-09 |
Last Update Date | 2020-07-21 |