NPI | 1265461719 |
---|---|
Doing Business As | HATTIESBURG FAMILY HEALTH CENTER - DOWNTOWN |
Entity Type | Organization |
Authorized Contact | GEROLDEAN DYSE CEO 601-545-8700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2011-03-21 |