NPI | 1588616742 |
---|---|
Former Legal Business Name | ONEILL HEALTH CENTER, INC |
Entity Type | Organization |
Authorized Contact | HEIDI NELSON Executive Director 508-771-7517 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: MA 410W) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2019-05-02 |