NPI | 1164458717 |
---|---|
Doing Business As | HEALTHSOURCE: WASHINGTON COURT HOUSE FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | KIMBERLY PATTON CEO 513-576-7700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-06-24 |
Last Update Date | 2020-09-10 |