Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X | |||
Clinic/Center |
261Q00000X |
| NPI Number | 1174868285 |
| LBN Legal business name | ORTONVILLE AREA HEALTH SERVICES |
| Authorized official | DAVID ROGERS - (ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/29/2012 |
| Last updated | 11/09/2015 - About 11 years ago |
| Identifiers | n/a |
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