| NPI | 1427572213 |
|---|---|
| Doing Business As | ASU MID SOUTH HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | SUSAN WARD-JONES CEO 870-735-3842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2022-07-21 |