NPI | 1043436983 |
---|---|
Doing Business As | CROSSROADS HEALTHCARE CLINIC |
Other Name | CROSSROADS HEALTHCARE CLINIC |
Entity Type | Organization |
Authorized Contact | SARA JANE VIGIL Program Director 307-274-3010 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WY 20234.0234) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2007-04-18 |
Last Update Date | 2025-04-14 |