NPI | 1225304686 |
---|---|
Doing Business As | CHCL WEST MEDICAL & DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | MICHAEL P. SULLIVAN Chief Executive Officer 806-765-2611 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-03-29 |
Last Update Date | 2022-02-07 |