NPI | 1255757670 |
---|---|
Other Name | GLENDALE CLINIC |
Doing Business As | NEIGHBORHOOD MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | JENNIFER THOMAS Executive Director 801-412-6920 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 122300000X Dentist |
124Q00000X Dental Hygienist | |
207Q00000X Family Medicine | |
207V00000X Obstetrics & Gynecology | |
208000000X Pediatrics | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2014-03-10 |
Last Update Date | 2023-10-30 |