| NPI | 1184998361 |
|---|---|
| Former Legal Business Name | SUSQUEHANNA COMMUNITY HEALTH AND DENTAL CLINIC, INC |
| Entity Type | Organization |
| Authorized Contact | JAMES YOXTHEIMER Presendent/CEO 570-567-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2024-09-24 |