NPI | 1194261594 |
---|---|
Doing Business As | SEARHC FRONT STREET CLINIC |
Entity Type | Organization |
Authorized Contact | DANIEL HARRIS Chief Financial Officer 907-463-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: AK 70206) |
261Q00000X | |
Enumeration Date | 2017-01-10 |
Last Update Date | 2020-12-29 |