NPI | 1144044637 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES KAMMERER Interim CEO 319-753-2300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-11-11 |
Last Update Date | 2024-11-14 |