| NPI | 1114120623 |
|---|---|
| Former Legal Business Name | SOUTHWEST COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | HAROLD BROCKMAN CFO 707-583-8839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CA 110000300) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2012-11-19 |