NPI | 1891723128 |
---|---|
Doing Business As | DICKINSCON CONVENIENT CARE CLINIC |
Entity Type | Organization |
Authorized Contact | CHARLES NELSON Chief Executive Officer 906-774-1313 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2006-06-28 |
Last Update Date | 2019-11-26 |