| NPI | 1700294295 |
|---|---|
| Other Name | HUNTSVILLE MEMORIAL MED CLINIC - RIVERSIDE |
| Entity Type | Organization |
| Authorized Contact | SHANNON BROWN Manager 9362-912-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2016-02-10 |