NPI | 1356759385 |
---|---|
Doing Business As | COMMUNITY CLINIC SPRINGDALE MEDICAL - FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | JAMES SEMINGSON CEO 479-751-7417 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-07-22 |
Last Update Date | 2020-01-15 |