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 | 2024-10-28 |