| NPI | 1902102692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD G HILTON Associate Administrator / CFO 662-615-2503 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MS 11-269) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |