| NPI | 1407409261 |
|---|---|
| Doing Business As | MIDTOWN HEALTH CENTER--WOODLAND PARK ELEMENTARY SCHOOL |
| Entity Type | Organization |
| Authorized Contact | MELODEE J DRENKOW Systems Auditor/Credentialing 402-370-1064 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2020-07-09 |