Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI # | 1588851455 |
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| LBN Legal business name | TOWN OF CHERRY VALLEY | ||||||||||||||||
| Authorized official | THOMAS GARRETSON - (SUPERVISOR-TOWN OF CHERRY VALLEY) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||
| Enumeration date | 09/25/2007 | ||||||||||||||||
| Last updated | 07/29/2025 - About 10 months ago | ||||||||||||||||
| Identifiers |
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