| NPI | 1679724181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. TRAVIS DOWELL Vice President, Hcna And Operations 217-788-3342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |