| NPI | 1699778902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG ANDREW FILLENWARTH Nurse Practitioner 812-427-4038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2010-06-11 |