| NPI | 1982288312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN K CADWELL CEO 307-746-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-06-17 |