NPI | 1588692487 |
---|---|
Doing Business As | PRIMARY HEALTH CARE-BERY ENGEBRETSEN CLINIC |
Entity Type | Organization |
Authorized Contact | KELLY HUNSTMAN Chief Executive Officer 515-248-1441 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: IA NA) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2016-12-27 |