NPI | 1558366823 |
---|---|
Doing Business As | DAVIS COMMUNITY CLINIC |
Doing Business As | COMMUNICARE OLE |
Entity Type | Organization |
Authorized Contact | ROSE MACISAAC CFO 760-767-6435 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 03000146) |
Enumeration Date | 2005-06-14 |
Last Update Date | 2023-10-17 |