Organization
GWIM ENTERPRISES, LLC
Active
Other names
Monroe Convenient Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROCKIE MCDANIEL (PRESIDENT)
(270) 403-5211
Entity
Organization
Contact information
Practice address
200 N CRAWFORD ST, TOMPKINSVILLE, KY 42167-1617
(270) 634-2089
Mailing address
PO BOX 952, TOMPKINSVILLE, KY 42167-0952
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2008
Last updated
08/22/2008
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