NPI | 1346919362 |
---|---|
Doing Business As | METROHEALTH BROADWAY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | DERRICK HOLLINGS EVP/CFO 216-778-7800 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-09-13 |
Last Update Date | 2024-05-09 |