| NPI | 1568420800 |
|---|---|
| Doing Business As | NORTHSIDE COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | GERRIE WHITAKER CEO 817-625-4254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-08-02 |