NPI | 1417731951 |
---|---|
Other Name | NORTH CENTRAL SCHOOL BASED CLINIC |
Entity Type | Organization |
Authorized Contact | NATHAN HALVORSON Corporate Compliance Officer 509-444-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-08-24 |
Last Update Date | 2024-09-17 |