NPI | 1134227689 |
---|---|
Other Name | COMMUNITY HEALTH CENTER OF JACKSON COUNTY |
Entity Type | Organization |
Authorized Contact | TERRANCE J. DRAKE Chief Medical Officer (Cmo) 317-576-1335 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2023-03-17 |