NPI | 1205889540 |
---|---|
Other Name | FAMILY HEALTH CENTER PHOENIX |
Entity Type | Organization |
Authorized Contact | BART IRWIN CEO (Interim) 502-774-8631 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: KY 700013) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2021-07-16 |