NPI | 1093090292 |
---|---|
Doing Business As | AHC LINCOLN SCHOOL WILDCAT HEALTH EXTENSION |
Entity Type | Organization |
Authorized Contact | NANCY SPENCER Executive Director 989-358-0673 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101Y00000X Counselor |
207Q00000X Family Medicine | |
363A00000X Physician Assistant | |
Enumeration Date | 2011-10-19 |
Last Update Date | 2019-05-23 |