NPI | 1033412796 |
---|---|
Doing Business As | HEALTH CENTER AT WAHSATCH |
Entity Type | Organization |
Authorized Contact | RYAN SPILLANE Chief Financial Officer 719-344-7135 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CO 18R483) |
Enumeration Date | 2010-12-17 |
Last Update Date | 2023-03-06 |