NPI | 1558394064 |
---|---|
Doing Business As | I-70 MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | JEFFREY W BLOEMKER CEO 660-335-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2006-07-08 |
Last Update Date | 2015-06-22 |