| NPI | 1588934079 |
|---|---|
| Other Name | SUNNYSIDE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | RHONDA HAUFF Chief Operating Officer/Deputy CEO 509-454-4143 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2012-02-02 |