NPI | 1255612040 |
---|---|
Doing Business As | COMMUNITY HEALTH CONNECTION KW |
Entity Type | Organization |
Authorized Contact | JEFF FAUST Hr Manager 918-622-0641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2011-09-07 |
Last Update Date | 2016-09-20 |