Organization Name: | SOUTHWEST HEALTHCARE SERVICES |
NPI Number: | 1891893624 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDY SEPTON (OFFICE MANGER) |
Mailing Address: | 12 6th Ave Sw Bowman |
State: | ND US |
Postal Code: | 586234518 |
Phone Number: | 7015233226 |
Fax Number: | 7015237107 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |