NPI | 1003994252 |
---|---|
Other Name | MARKET STREET CLINIC |
Entity Type | Organization |
Authorized Contact | AARON WILSON CEO 509-444-8888 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2020-08-21 |