| NPI | 1285964262 |
|---|---|
| Doing Business As | MOBILE HEALTH SERVICES VAN |
| Entity Type | Organization |
| Authorized Contact | RYAN SPILLANE Chief Financial Officer 719-344-7135 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2023-04-05 |