NPI | 1336193838 |
---|---|
Other Name | DBA CASTLETON FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL L GARDNER Finance Director 802-855-2080 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-05-19 |
Last Update Date | 2021-06-21 |