| NPI | 1871104034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA EAST SVP, CFO 269-341-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2023-11-27 |