NPI | 1376316091 |
---|---|
Doing Business As | HEALTH WEST ROCK SPRINGS DENTAL |
Entity Type | Organization |
Authorized Contact | AMELIA MURPHY Medical Staff Coodinator 208-232-7862 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-11-03 |
Last Update Date | 2025-04-21 |