| NPI | 1417472192 |
|---|---|
| Doing Business As | FNCH OUTPATIENT SERVICES |
| Other Name | FNCH OUTPATIENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | SUZETTE GUTIERREZ Credentialing Specialist 505-262-6567 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2024-10-08 |