NPI | 1194502047 |
---|---|
Doing Business As | SUNRISE MADISON HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | CATHY WOLFF CFO 970-346-2546 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-09-13 |
Last Update Date | 2023-09-13 |