| NPI | 1093870990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA ELAINE BATCHA CFO 541-308-8363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2024-10-01 |