| NPI | 1285771204 |
|---|---|
| Other Name | MSS/ICM |
| Entity Type | Organization |
| Authorized Contact | RHONDA HAUFF Primary Care Administrator 509-454-4143 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-17 |