NPI | 1982841144 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE K COVERT Sole Owner 870-898-6940 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR E-0730) |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health (Licence: AR E-0730) |
Enumeration Date | 2009-01-09 |
Last Update Date | 2010-08-27 |