| NPI | 1437191087 |
|---|---|
| Other Name | SOUTHEAST HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS JOHN ISTVAN Director Of PFS 415-759-4064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| 1223G0001X Dentist, General Practice | |
| 171M00000X Case Manager/Care Coordinator | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2022-08-04 |