NPI | 1164807533 |
---|---|
Doing Business As | CHURN CREEK HEALTHCARE |
Entity Type | Organization |
Authorized Contact | LORI HERNANDEZ Administrator 530-226-1740 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 20A7013) |
Enumeration Date | 2015-07-27 |
Last Update Date | 2021-09-21 |