| NPI | 1669792818 |
|---|---|
| Doing Business As | JANE PHILLIPS COFFEYVILLE RURAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | GAYLE J BURDEN Director 918-331-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2016-08-09 |