NPI | 1376725812 |
---|---|
Doing Business As | PERRY A. KLAASSEN FAMILY MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | ISABELLA LAWSON Chief Executive Officer 405-769-3301 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-11-27 |
Last Update Date | 2020-04-28 |