NPI | 1194070557 |
---|---|
Entity Type | Organization |
Authorized Contact | CALISA N WARNKE CFO 541-842-7642 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-07-20 |
Last Update Date | 2020-10-15 |