| NPI | 1457370744 |
|---|---|
| Doing Business As | BRIDGE COMMUNITY HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER SMITH Executive Director 715-848-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 5377-800) |
| 124Q00000X Dental Hygienist (Licence: WI 5377-800) | |
| 207Q00000X Family Medicine (Licence: WI 5377-800) | |
| 208000000X Pediatrics (Licence: WI 5377-800) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2017-06-30 |