| NPI | 1841405610 |
|---|---|
| Doing Business As | BENTON RURAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | CATHY D LISENBY Office Manager 618-435-2505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: IL 036060706) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-04-20 |