| NPI | 1154453496 |
|---|---|
| Doing Business As | KINTEGRA/SHA AT MINERAL SPRINGS |
| Entity Type | Organization |
| Authorized Contact | SHARMILA ANDERSON Business Services Administrator 704-874-1907 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-01-15 |