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Ambulatory Health Care Facilities Clinic/Center Rural Health

Provider NPI: 1669915864

Organization Information:
Organization is not Subpart
Authorized Official:  SARA L MILLER  DIRECTOR  615-920-7514

Practice Location:
Tel: 812-752-0001  Fax: 812-752-0010

Business Mailing Address:
Tel: 812-752-0001  Fax: 812-752-0010

NPI Information:
NPI: 1669915864
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y261QR1300XAmbulatory Health Care Facilities
Rural Health

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 261QR1300X





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