NPI | 1538985338 |
---|---|
Doing Business As | UMMA HEALTH AL SHIFA CAMPUS |
Entity Type | Organization |
Authorized Contact | ALFREDO REYNOSO Chief Operating Officer 236-471-5203 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-11-26 |
Last Update Date | 2024-11-26 |