| NPI | 1568432144 |
|---|---|
| Doing Business As | MIDWAY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHAWNA BAXTER Provider Enrollment 870-262-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2024-04-29 |