NPI | 1578689527 |
---|---|
Doing Business As | SOUTHWEST MEMORIAL PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | TRAVIS PARKER Chief Human Resources Officer 970-564-2163 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: CO 0179) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2023-06-20 |