| NPI | 1235600990 |
|---|---|
| Doing Business As | VIDALIA COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | DAWN C JOHNSON Office Manager 318-766-1967 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2020-04-30 |