NPI | 1558806125 |
---|---|
Doing Business As | BOX ELDER COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JORGE GARCIA CEO 435-755-6061 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-01-05 |
Last Update Date | 2022-06-01 |