| NPI | 1588966378 |
|---|---|
| Doing Business As | JEFFERSON MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHELLY LUDWIG Controller 913-774-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |