NPI | 1316374283 |
---|---|
Doing Business As | AXIS HEALTH SYSTEM |
Other Name | LA PLATA INTEGRATED HEALTHCARE |
Entity Type | Organization |
Authorized Contact | SHELLY BURKE Chief Executive Officer 000-000-0000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-10-08 |
Last Update Date | 2021-10-14 |