| NPI | 1558470567 |
|---|---|
| Doing Business As | FAMILY HEALTH CARE WHITE CLOUD |
| Entity Type | Organization |
| Authorized Contact | JULIE TATKO CEO 231-745-2743 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 152W00000X Optometrist |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-11-12 |