| NPI | 1407067317 |
|---|---|
| Other Name | SOUTHGATE |
| Entity Type | Organization |
| Authorized Contact | AARON WILSON CEO 509-444-8888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-07-21 |