NPI | 1346353679 |
---|---|
Other Name | BANNING HEALTH CARE |
Entity Type | Organization |
Authorized Contact | KOEN BROWN Deputy Director 951-358-5222 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 250000534) |
Additional Taxonomies | 251K00000X Public Health or Welfare |
Enumeration Date | 2006-08-17 |
Last Update Date | 2009-06-12 |