| NPI | 1770599052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L EAST SVP, CFO 269-341-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MI 1060000042) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2017-08-31 |