NPI | 1700130903 |
---|---|
Other Name | VERVE HEALTH AT KOKOMO |
Entity Type | Organization |
Authorized Contact | GERALD ERB CEO 317-573-7600 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: IN 02002977A) |
Additional Taxonomies | 261QP2300X Clinic/Center Primary Care (Licence: IN 02002977A) |
Enumeration Date | 2012-11-09 |
Last Update Date | 2015-05-15 |