NPI | 1265138580 |
---|---|
Doing Business As | CHC/OK BARTLESVILLE CLINIC |
Entity Type | Organization |
Authorized Contact | DANIEL SPENCER CREITZ Sr VP 620-240-5015 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-02-07 |
Last Update Date | 2023-03-23 |