NPI | 1164919049 |
---|---|
Doing Business As | COMMUNITY MEDICAL CENTERS, TRACY GRANT LINE |
Entity Type | Organization |
Authorized Contact | CHRISTINE C NOGUERA CEO 203-373-2831 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-04-17 |
Last Update Date | 2018-04-17 |