| NPI | 1295589455 |
|---|---|
| Doing Business As | 940 EAST MEDICAL |
| Entity Type | Organization |
| Authorized Contact | MANUEL I NAVARRO CEO 509-699-1372 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2025-06-05 |