| NPI | 1104538636 |
|---|---|
| Doing Business As | FOUNDATIONS FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CATHY SUE JARVIS Revenue Cycle Manager 765-973-9294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2022-12-15 |