NPI | 1497522262 |
---|---|
Doing Business As | PRIMARY HEALTH CARE AT EAST HIGH SCHOOL |
Entity Type | Organization |
Authorized Contact | KELLY ANN HUNTSMAN Chief Executive Officer 515-248-1441 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-12-11 |
Last Update Date | 2023-12-11 |