NPI | 1316572563 |
---|---|
Other Name | ST. MARY HEALTH CENTERS - APPLE VALLEY |
Entity Type | Organization |
Authorized Contact | TIMOTHY JASON BROWN Chief Executive Officer 208-899-9631 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2020-03-09 |
Last Update Date | 2020-08-04 |