NPI | 1063654341 |
---|---|
Doing Business As | SOUTHSIDE FAMILY HEALTH CENTER |
Doing Business As | GATEWAY FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | SUSIE ANN BEAL CFO 334-420-5001 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2009-04-01 |
Last Update Date | 2023-11-29 |