| NPI | 1760228647 |
|---|---|
| Doing Business As | MED CENTER HEALTH PRIMARY CARE RUSSELLVILLE |
| Entity Type | Organization |
| Authorized Contact | MICHELE LAWLESS Executive Vice President & CFO 270-745-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2025-05-08 |