| NPI | 1669424784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY S BUMGARNER Director Human Resources 260-919-3302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2011-10-21 |