| NPI | 1427001940 |
|---|---|
| Doing Business As | MIRASOL FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | SHANNON FERNANDEZ Billing VP 509-865-6175 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-11-02 |