NPI | 1053206375 |
---|---|
Doing Business As | SOUTH COUNTY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | DENISE WILSON Revenue Manager 314-615-0877 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2025-06-09 |
Last Update Date | 2025-08-26 |