NPI | 1407309685 |
---|---|
Doing Business As | TRAVERSE HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | CASEY KANDOW CEO 231-935-0799 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
Enumeration Date | 2016-07-25 |
Last Update Date | 2023-11-21 |