NPI | 1861609570 |
---|---|
Doing Business As | CULLOM RURAL HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | SUMNER R CULLOM Owner 870-563-6512 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: AR C4583) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2010-04-14 |