| NPI | 1942642848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BATY Cc Specialist Lead 605-789-6574 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: IN 02003711A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2024-08-28 |