NPI | 1013623941 |
---|---|
Doing Business As | HEALTH WEST GARDEN CITY |
Entity Type | Organization |
Authorized Contact | AMELIA MURPHY Medical Staff Coordinator 208-232-7862 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2023-01-24 |
Last Update Date | 2024-07-29 |