| Organization Name: | RAWLINS COUNTY DENTAL CLINIC FUND |
| NPI Number: | 1740423003 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HEIDI S. FOSTER (CEO) |
| Mailing Address: | 707 Grant St Suite 1 Atwood |
| State: | KS US |
| Postal Code: | 677301526 |
| Phone Number: | 7856268290 |
| Fax Number: | 7856268289 |
| NPI Enumeration Date: | 04/15/2009 |
| NPI Last Update Date: | 04/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 60622 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |