NPI | 1245618503 |
---|---|
Doing Business As | DEMING BH HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | DOUG SMITH Executive Vice President 505-982-5565 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-05-07 |
Last Update Date | 2021-01-09 |