NPI | 1366013211 |
---|---|
Doing Business As | REDWOODS RURAL HEALTH CENTER -FORTUNA |
Entity Type | Organization |
Authorized Contact | TINA N TVEDT Executive Director 707-923-7521 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2021-07-01 |
Last Update Date | 2021-07-01 |