| NPI | 1194846550 |
|---|---|
| Doing Business As | SOUTH SIDE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MATT YOUNGER CEO 816-232-6818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2021-11-10 |