NPI | 1194752949 |
---|---|
Doing Business As | CITIZEN POTAWATOMI NATION CLINIC |
Entity Type | Organization |
Authorized Contact | CHRIS SKILLINGS Director Of Health Services 405-273-5236 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2016-11-09 |