| NPI | 1902840333 |
|---|---|
| Doing Business As | D/B/A HEALTHCENTER ON 1417 |
| Entity Type | Organization |
| Authorized Contact | VANCE VERNON REYNOLDS President & Chief Executive Officer 903-870-4591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-06-21 |