NPI | 1073021754 |
---|---|
Doing Business As | OAKRIDGE LOWER ELEMENTARY SCHOOL |
Entity Type | Organization |
Authorized Contact | JO ANN PAPROCKI Billing Manager 231-733-6804 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2018-01-17 |
Last Update Date | 2018-05-11 |