NPI | 1194473595 |
---|---|
Doing Business As | MARRAM HEALTH CENTER SUITE 104 |
Entity Type | Organization |
Authorized Contact | KATE SANDERS VP Systems Administration 219-476-4664 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-03-15 |
Last Update Date | 2022-07-07 |