| NPI | 1083086359 |
|---|---|
| Doing Business As | PRIMARY HEALTH CARE AT SCAVO |
| Entity Type | Organization |
| Authorized Contact | KELLY HUNTSMAN Chief Executive Officer 515-248-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2016-09-28 |