NPI | 1043891153 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE ARMSTRONG Billing Director 614-274-1455 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2021-04-20 |
Last Update Date | 2021-10-18 |