| NPI | 1891543252 |
|---|---|
| Doing Business As | MISSISSIPPI FARM BUREAU MARATHON HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | KARLA SPIVEY Implementation And Onboarding Coord 317-869-3164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |