NPI | 1295852549 |
---|---|
Doing Business As | CONCORD HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL COSTA Executive Director/CEO 802-748-9405 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
291U00000X Clinical Medical Laboratory | |
Enumeration Date | 2007-03-23 |
Last Update Date | 2021-06-11 |