NPI | 1871073304 |
---|---|
Doing Business As | HEINEN MEDICAL VILLE PLATTE |
Entity Type | Organization |
Authorized Contact | JADE N. HEINEN CEO 337-457-8166 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2018-08-15 |
Last Update Date | 2020-10-06 |