| NPI | 1477721058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE L CULFA Division Of Health Director 906-632-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2010-10-20 |