| NPI | 1700951951 |
|---|---|
| Doing Business As | PRIME HEALTH |
| Entity Type | Organization |
| Authorized Contact | MEICHI C LEE Administrator 225-687-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: LA 003) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 003) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2014-11-21 |