NPI | 1083014401 |
---|---|
Doing Business As | FHC RIVERVIEW DME |
Entity Type | Organization |
Authorized Contact | GREGORY R. NYCZ Director Of Family Health Center 715-387-9137 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-09-04 |
Last Update Date | 2023-11-10 |