| NPI | 1962803015 |
|---|---|
| Doing Business As | VERDIGRIS VALLEY CHARITABLE HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHAWN ERIC RAYMOND Clinic Administrator 620-330-3922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |