| NPI | 1063715886 |
|---|---|
| Doing Business As | COMMON STREET HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | GRANT L WHITMER Executive Director 802-468-5641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2011-08-10 |