| NPI | 1639722655 |
|---|---|
| Doing Business As | PCH IMMEDIATE CARE RURAL HEALTH CLINC |
| Entity Type | Organization |
| Authorized Contact | BOBBI JOHNSON Rural Clinic Coordinator 870-598-3881 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2023-10-26 |