| NPI | 1912932526 |
|---|---|
| Doing Business As | COMMUNITY CARE OF ROCK CAVE |
| Entity Type | Organization |
| Authorized Contact | DORA L POTASNIK Credentialing Coordinator 307-317-7275 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-01-18 |