| NPI | 1336986785 |
|---|---|
| Doing Business As | COMMUNITY CLINIC WEST FORK |
| 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 | 2024-07-12 |
| Last Update Date | 2024-07-12 |