NPI | 1538619333 |
---|---|
Doing Business As | FAIRMOUNT PRIMARY CARE CENTER AT GIRARD MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | ALVAN SCOTT MCNEAL President & CEO 215-684-5344 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-10-05 |
Last Update Date | 2021-09-24 |