NPI | 1093703639 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE KEMP CEO 319-874-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2005-10-07 |
Last Update Date | 2018-10-02 |