Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI # | 1427181486 |
| LBN Legal business name | SEBASTICOOK VALLEY HEALTH |
| Authorized official | RANDALL CLARK - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/13/2007 |
| Last updated | 06/04/2025 - More than a year ago |
| Identifiers | n/a |
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SEBASTICOOK VALLEY HEALTH
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