NPI | 1386789279 |
---|---|
Doing Business As | FAMILY HEALTH CENTER, SOUTH |
Entity Type | Organization |
Authorized Contact | DENISE R CRAWFORD President And CEO 269-349-4257 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301063404) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2010-11-16 |