NPI | 1184246134 |
---|---|
Doing Business As | ROSEWOOD FAMILY HEALTH AT GATEWAY |
Entity Type | Organization |
Authorized Contact | SHANNON FERNANDEZ Billing VP 508-865-6175 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2020-05-13 |
Last Update Date | 2022-11-01 |