| NPI | 1326417080 |
|---|---|
| Other Name | CHESTNUT FAMILY HEALTH CENTER GRANITE CITY |
| Entity Type | Organization |
| Authorized Contact | MEGAN MARIE TAYLOR Manged Care Supervisor 888-924-3786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2023-03-16 |