NPI | 1457560351 |
---|---|
Entity Type | Organization |
Authorized Contact | RHONDA HAUFF Primary Care Administrator 509-454-4143 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2025-04-24 |