NPI | 1306583372 |
---|---|
Other Name | FORT THOMPSON INDIAN HEALTH SERVICE COMMUNITY HEALTH WORKER |
Entity Type | Organization |
Authorized Contact | KELLIE LYNN TAYLOR Business Office Manager 605-245-1559 |
Organization Subpart ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Enumeration Date | 2022-05-19 |
Last Update Date | 2022-05-19 |