NPI | 1164586772 |
---|---|
Doing Business As | KING FAMILY CENTER HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | MICHAEL H. KIRKPATRICK Chief Executive Officer 209-373-2833 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 0300000561) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2020-08-22 |