| NPI | 1417202029 |
|---|---|
| Former Legal Business Name | INTERFAITH COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JODI JOYCE Director Of Hr & Compliance 360-676-6177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 602 160 891) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2022-08-22 |