| NPI | 1750785986 |
|---|---|
| Doing Business As | CARLE MATTOON ON HURST |
| Entity Type | Organization |
| Authorized Contact | HARRY BROCKUS CEO 217-283-8540 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |