| NPI | 1669983722 |
|---|---|
| Other Name | BANNER FAMILY CARE CLINIC STE |
| Entity Type | Organization |
| Authorized Contact | NED RESCH CEO 970-740-3105 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2023-05-23 |