| NPI | 1891761300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX A TUNGATE CEO Administrator 270-932-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: KY 900193) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2012-10-31 |