NPI | 1063091247 |
---|---|
Doing Business As | YOUR COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | BETH SPARKS Credentialing Specialist 573-426-2407 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-04-06 |
Last Update Date | 2021-11-19 |