| NPI | 1992041370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN REEL Controller 615-864-8709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2022-12-13 |