| NPI | 1225411945 |
|---|---|
| Doing Business As | FORT THOMPSON COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN RAY MENGENHAUSEN CEO 605-772-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2016-03-29 |