NPI | 1376907493 |
---|---|
Other Name | AXIS ORAL HEALTH CLINIC |
Doing Business As | AXIS HEALTH SYSTEM |
Entity Type | Organization |
Authorized Contact | SHELLY BURKE Chief Executive Officer 000-000-0000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-04-06 |
Last Update Date | 2021-05-27 |