NPI | 1174158992 |
---|---|
Doing Business As | SLOAN'S LAKE PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | ANSAR HASSAN Chief Financial Officer 303-602-7083 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-03-12 |
Last Update Date | 2023-10-02 |