| NPI | 1649903345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN REEL Controller 615-864-8709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261Q00000X |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2022-10-24 |