| NPI | 1902280837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA K ROEHR CFO 605-448-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2023-03-16 |