| NPI | 1053819045 |
|---|---|
| Doing Business As | MOUNTAIN FAMILY HEALTH CENTERS MOBILE DENTAL VAN |
| Entity Type | Organization |
| Authorized Contact | ANNETTE FRANTA Chief Financial Officer 970-928-1636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2022-11-30 |