NPI | 1427727007 |
---|---|
Former Legal Business Name | ST. JAMES-SANTEE FAMILY HEALTH CENTER, INC. |
Doing Business As | ROSEMARY MIDDLE SCHOOL - SCHOOL BASED CLINIC |
Entity Type | Organization |
Authorized Contact | SANDRA D GILLIARD CEO 843-990-7993 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 208000000X Pediatrics |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2021-09-08 |
Last Update Date | 2022-06-22 |