| NPI | 1619540309 |
|---|---|
| Doing Business As | CENTERVILLE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TONYA RUDD Clinic Director 605-326-3045 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-20 |