| NPI | 1003374380 |
|---|---|
| Former Legal Business Name | MID-ISLAND HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MASSERAE E WEBSTER Chief Executive Officer 340-772-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |