| NPI | 1225742174 |
|---|---|
| Doing Business As | SOUTH GARDNER COMMUNITY HEALTH CENTER AND URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | JOHN A DEMALIA CEO 978-878-8510 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |