| NPI | 1730429770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J W BOLT Exec Dir 479-636-0500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |