An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
ID license #11taxonomy 261QC0050X
Identifiers
Type
Value
Notes
05 (ID)
806919300
01 (ID)
000010147424
REGENCE CLINIC GROUP #
01 (ID)
8J620
BLUE CROSS CLINIC GROUP #
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Dr. David G. Burica, A MMH Physician Clinic
Type code 3recorded 2007-11-13
Practice context
Single-site organization. Only one practice location on file.
Subpart of McCall Memorial Hospital.
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