NPI | 1144559568 |
---|---|
Doing Business As | ALCONA HEALTH CENTER-TIGER EXTENSION |
Entity Type | Organization |
Authorized Contact | NANCY SPENCER Executive Director 989-358-0673 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 104100000X Social Worker |
207Q00000X Family Medicine | |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2009-12-14 |
Last Update Date | 2019-05-23 |