NPI | 1093186660 |
---|---|
Doing Business As | FAIRFIELD STREET HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | PAMELA Y PARSONS Chief Executive Officer 802-255-5561 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-10-08 |
Last Update Date | 2016-03-02 |