NPI | 1063438133 |
---|---|
Doing Business As | FAMILY HEALTHCARE CENTER AT SSTAR |
Entity Type | Organization |
Authorized Contact | BETH CANTAFIO Finance Director 508-675-1054 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: MA 4379) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-07-14 |
Last Update Date | 2019-03-21 |