NPI | 1427418276 |
---|---|
Doing Business As | EDGERTON WOMEN'S HEALTH CENTER - DENTAL |
Entity Type | Organization |
Authorized Contact | THOMAS J BOWMAN CEO 563-336-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2016-03-07 |
Last Update Date | 2025-04-22 |