| NPI | 1023642576 |
|---|---|
| Doing Business As | PNW CLINIC |
| Entity Type | Organization |
| Authorized Contact | JUDITH SIKORA CFO 219-757-1921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-26 |