NPI | 1023288032 |
---|---|
Other Name | HEALTHLINC - PORTER-STARKE |
Entity Type | Organization |
Authorized Contact | MELISSA MITCHELL CEO 219-465-9503 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: IN H80CS06662) |
Enumeration Date | 2008-03-05 |
Last Update Date | 2024-01-12 |