NPI | 1003564931 |
---|---|
Doing Business As | NORTHERN EXPRESS CARE NEWPORT |
Entity Type | Organization |
Authorized Contact | STACEY TANNER Human Resources Generalist 802-748-9405 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-03-10 |
Last Update Date | 2022-03-10 |