NPI | 1578990578 |
---|---|
Former Legal Business Name | SHEBOYGAN AREA COMMUNITY CLINICS, INC |
Entity Type | Organization |
Authorized Contact | DAVID HUGHES Chief Financial Officer 920-783-6633 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-10-04 |
Last Update Date | 2014-09-30 |