NPI | 1578100723 |
---|---|
Doing Business As | MIDTOWN HEALTH CENTER--WEST POINT |
Entity Type | Organization |
Authorized Contact | MELODEE J DRENKOW System Auditor/Credentialing 402-370-1064 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-12-06 |
Last Update Date | 2022-08-24 |