NPI | 1477007292 |
---|---|
Doing Business As | REGIONAL HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | ROBERT KRUMWIED CEO 219-769-4005 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center Dental |
261QM1300X Clinic/Center Multi-Specialty | |
Enumeration Date | 2016-08-10 |
Last Update Date | 2023-08-15 |