| NPI | 1487102406 |
|---|---|
| Other Name | INDIAN HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | KELLY MARIE FATH Nurse Practitioner 724-747-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center Public Health, Federal (Licence: PA SP012937) |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care (Licence: PA SP012937) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |