| NPI | 1851541197 |
|---|---|
| Doing Business As | MOUNTAIN MEDICAL RURAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | BENNY NOLEN Vice President 606-598-5104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2021-01-13 |