NPI | 1528620838 |
---|---|
Doing Business As | MOUNTAIN HEALTH CTR. |
Entity Type | Organization |
Authorized Contact | MARTHA A HALNON Chief Executive Officer 802-453-5116 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2019-07-08 |
Last Update Date | 2019-07-08 |