| NPI | 1811901515 |
|---|---|
| Doing Business As | MIDWAY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOEL JACKSON Chief Executive Officer 307-568-1426 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 208D00000X General Practice |
| 261QR1300X Clinic/Center, Rural Health (Licence: WY 06-139) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-10-30 |