NPI | 1578552543 |
---|---|
Doing Business As | CHANNEL MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL H KIRKPATRICK CEO 209-373-2833 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 030000561) |
Enumeration Date | 2005-10-20 |
Last Update Date | 2010-07-14 |