NPI | 1063606358 |
---|---|
Doing Business As | JAMES O. ELLIS HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | DAVID E GAY CEO 205-758-6647 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-08-30 |
Last Update Date | 2022-05-17 |