NPI | 1023740735 |
---|---|
Entity Type | Organization |
Authorized Contact | AMELIA MURPHY Medical Staff COO Rdinator 208-232-7862 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-06-30 |
Last Update Date | 2022-06-30 |