NPI | 1003398892 |
---|---|
Doing Business As | DAVIS HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | ANGELA GONZALEZ CEO 509-494-6700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-08-29 |
Last Update Date | 2023-10-11 |