NPI | 1316531858 |
---|---|
Doing Business As | COMMUNITY CLINIC MOBILE HEALTH UNIT |
Entity Type | Organization |
Authorized Contact | JAMES A SEMINGSON CEO 479-751-7417 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-02-25 |
Last Update Date | 2021-02-25 |